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Claim Processor/Customer Service

Jobtailor

Handle low to moderate low exposure claims

Confirm claim coverage by reviewing policies and supporting documents

Analyze coverage and communicate coverage positions

Draft coverage position letters independently

Investigate, evaluate, negotiate, and settle assigned claims

Obtain, review, and analyze documentation, policy provisions, and other records

Conduct, coordinate, and direct investigations into loss facts and extent of damages

Evaluate coverage, liability, and damages to determine insured exposure

Set reserves within authority or recommend reserve changes to the manager

Use the diary system to resolve outstanding issues and ensure timely claim processing and closure

Negotiate and settle claims directly with claimants

Prepare reports by collecting and summarizing information

Participate in special projects and assist team members as requested

Provide timely service throughout the claim lifecycle in accordance with service level agreements and company policies

Identify subrogation opportunities and fraud potential and make appropriate referrals

Provide customer service to internal and external customers

Requirements

Bachelor’s degree or equivalent work experience

Must have or be eligible to receive claims adjuster license

Successful completion of basic insurance courses or achievement of an industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)

Minimum of two years of claims handling experience or equivalent combination of education and experience

Knowledge of insurance industry or claims handling preferred

Successful completion of two years as an Associate Claims Specialist preferred

Excellent written and oral communication skills

Strong analytical and problem-solving skills

Strong organization and time management skills

Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)

Ability to work in a team environment

Strong desire for continuous improvement

Ability to travel to industry conferences or meetings, if required

US Work Authorization required

Markel does not provide visa sponsorship for this position, now or in the future

Core Competencies
Demonstrates expertise in claims handling, including analyzing coverage, negotiating settlements, and providing exceptional customer service throughout the claim lifecycle. Proficient in utilizing Microsoft Office tools and maintaining compliance with industry standards and regulations.

Highest-signal resume keywords

Claims Handling Experience

Claims Adjuster License

Analytical Skills

Microsoft Office Proficiency

Customer Service

Hard Skills

Claims Analysis

Coverage Evaluation

Negotiation

Documentation Review

Report Preparation

Subrogation Identification

Fraud Detection

Reserve Setting

Investigation Coordination

Policy Provision Analysis

Soft Skills

Written Communication

Oral Communication

Problem-Solving

Organization

Time Management

Team Collaboration

Continuous Improvement

Certifications & Qualifications

Claims Adjuster License

INS

IEA

AIC

ARM

SCLA

CPCU

Industry Keywords

Insurance Industry

Claims Handling

Coverage Position

Loss Investigation

Service Level Agreements

Customer Service

Fraud Potential

Subrogation Opportunities

Claims Lifecycle

Policy Provisions

Tools & Technologies

Microsoft Excel

Microsoft Outlook

Microsoft PowerPoint

Microsoft Word

Diary System

#J-18808-Ljbffr Jobtailor

Vacancy posted 4 days ago
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