Claims Examiner III
$82.5k - $171.45kMarkel
Join Us and Play Your Part in Something SpecialThe work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.This position will be responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under general direction from their manager.Job ResponsibilitiesConfirms coverage of claims by reviewing policies and documents submitted in support of claimsAnalyzes coverage and communicates coverage positionsConducts, coordinates, and directs investigation into loss facts and extent of damagesDirects and monitors assignments to experts and outside counselEvaluates information on coverage, compensability, and medical management to determine the extent of insured's exposureSets reserves within authority or makes claim recommendations concerning reserve changes to managerFocus on driving claims to a resolution with a focus of returning the injured back to workEvaluate, Negotiate and settle claim when appropriatePrepares reports by collecting and summarizing informationAdheres to Fair Claims Practices regulations and internal Claims Quality Performance ObjectivesParticipates in special projects or assists other team members as requestedAttend all state specific trainings as scheduledTravel to mediations, trials, and conferences as requiredQualifications & SkillsBachelor's degree in a business-related field preferred; equivalent insurance industry experience may be substituted.Insurance designation(s) preferred.Excellent written and verbal communication skills.Strong analytical, problem-solving, organizational, and time management skills.Ability to deliver outstanding customer service and work effectively in a team environment.Strong understanding of medical terminology preferred.Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, PowerPoint, and Word.Demonstrated commitment to continuous improvement and professional development.Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions.Strong negotiation and decision-making skills.US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.The salary range for this position is $82,500 - $171,450. The posted salary range reflects the lowest and highest base salary applicable to this role across our U.S. locations. Individual offers are determined based on geographic location, experience, qualifications, internal equity, and other job-related factors. As a result, the salary offered for a specific location will fall within a narrower range than the overall range displayed in this posting. This position may also be eligible to participate in the Company's annual incentive plan.Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.We're all about people | We win together | We strive for betterWe enjoy the everyday | We think furtherIn keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.Are you ready to play your part?
$82.5k - $171.45k
...something special! This position will be responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions. The position will have increased responsibility for decision making within their authority and work under...SuggestedFull timeWork at officeLocal areaWork from home- ...Claims ExaminerInvestigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages...SuggestedWork at officeNight shift
- ...Flood Claims Examiner This is an intermediary level examiner position within Allcat's Flood program. This is a predominantly Flood QA review position with desk adjusting possibilities. In this position you will be required to review flood claims and provide feedback...SuggestedWork at officeImmediate startRemote workMonday to Friday
- Markel is seeking a claims professional to resolve high-complexity workers' compensation claims across multiple jurisdictions. The role involves coverage analysis, investigations, and negotiation within authority, with travel to mediations and trials as needed. The candidate...Suggested
- Markel Corporation seeks an experienced claims professional to resolve high complexity Workers' Compensation claims across multiple jurisdictions. You will handle coverage analysis, investigations, and reserve setting, with emphasis on returning injured employees to work...Suggested
$91k - $150k
Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day.Being...Full timeWork experience placementWork at officeFlexible hoursDay shift- ...12 months Auto Damage experience and excludes trainees. You will provide high‑quality customer service and promptly settle complex claims, applying technical knowledge to reach fair settlements. Schedule is primarily Monday through Friday, 8:00 AM to 4:30 PM, with some...TraineeshipMonday to Friday
- ...HealthTECH Resources is seeking a Configuration Management Analyst to support analysis, design, build, testing, and maintenance of claims system configuration at a Rhode Island-based health plan. Entry to mid-level role with HealthRules Payor as the primary platform. Training...Contract work
$132.8k - $219.1k
...culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a...Local area$19.39 per hour
...reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and...For contractorsWork at officeLocal area- What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it.The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists...Full timeLocal areaWork from homeFlexible hours
$17.79 - $21.64 per hour
...Claims Call Centre Representative 135927 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich’s customers include individuals, small businesses, and mid-sized and large companies, as well as multinational corporations...Hourly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeVisa sponsorshipShift work$23 - $26 per hour
Come join our amazing team and work remote from home! The Loss Mitigation Underwriter l will be responsible for underwriting Loan Modifications applications in accordance with Treasury, Company and Investor guidelines while following company's policies and procedures...Hourly payExtra incomeRemote workWork from home- Progressive Insurance is seeking a claims adjuster specialist in Warwick, RI to independently manage attorney represented bodily injury claims. The role includes liability assessment, settlement negotiations with attorneys, and cost estimation for treatments and compensation...Work at office
- Brown University Health in Providence, RI, is seeking a claims follow-up specialist to review denied claims and correct them for adjudication. The role requires 1-3 years of billing experience and knowledge of ICD, CPT, HCPCS, and 1500 forms, with Epic experience a plus...
- ...The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder’s self-administered liability program. This position investigates and adjusts claims, and directs defense counsel, independent adjusters, experts, and other vendors...Remote work
$100k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care PRIMARY PURPOSE OF THE ROLE: To analyze complex or...Full timeLocal areaFlexible hours- Medical Mutual is hiring temporary Medical Underwriters to help during our busy season. The Medical Underwriter establishes appropriate new business and renewal premiums via evaluation of medical risk. Utilizes medical expertise to provide field support to broker distribution...Temporary work
- A leading banking institution in Johnston, RI seeks a Home Equity Underwriter II to handle complex HELOC applications. Candidates should have 3-5 years of home equity lending experience, strong analytical skills, and attention to detail. Responsibilities include assessing...Full timeWork at office
- Overview As the Home Equity Underwriter II at Citizens, you will be responsible for rendering quality credit decisions on complicated new HELOC applications, using data analysis, problem-solving skills, and knowledge of the Consumer Lending credit policy and regulatory ...Full timeWork at officeLocal areaMonday to Friday
- Citizens Bank in Johnston, RI seeks a Home Equity Underwriter II to render quality credit decisions on complex HELOC applications, drawing on data analysis and policy knowledge. You will review documentation to ensure compliance with underwriting standards and regulatory...
$100k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...education and self-development opportunities. Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain...Full timeLocal areaRemote work$59.9k - $98.2k
...Workers Compensation Claims Specialist (NE Region) 135388 Zurich is looking for an accomplished Workers Compensation Claims Specialist II for our Northeast region. This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup...Full timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- Ryder System, Inc. is seeking a Senior Claims Representative to handle complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. The role involves investigating, adjusting, and directing defense counsel...Remote job
- Ryder System, Inc. seeks a Claims Analyst to handle complex, high exposure bodily injury and property damage claims under Ryder’s self-administered liability program. This role investigates, adjusts, and directs defense counsel, adjusters, experts, and other vendors in...
- Zurich North America is seeking an accomplished Senior Workers’ Compensation Claims Specialist to join our Northeast Region team. This role offers a hybrid schedule from Parsippany, NJ or Boston, MA offices, or remote work in multiple states including RI, MA, NY, PA and...Remote jobWork at office
- ...offers a 6-month paid, fully remote INVEST Program designed for recent graduates to gain real-world exposure and mentorship in the claims field. Start date is January 2027 with licensing opportunities and career progression into claims management roles. The program emphasizes...Remote jobTraineeship
- Job Description The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent...Remote jobFull time
$50k
Job Description Job Description Location: 169 Bay City Street, Providence, Rhode Island, 02905 Work Location: In person Compensation and Benefits: ~ Salary: From $50,000 a year ~ Benefits: ~401K ~ Profit Share ~ Medical, Dental Vision Insurance ~...Work at officeLocal area- Factory Mutual Insurance Company is seeking an experienced underwriting professional focused on natural hazards and flood risk. You will analyze portfolios, set pricing strategies, and develop underwriting requirements to support profit and growth objectives. Collaboration...
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