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
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