Associate Claims Examiner jobs in United States
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Markel · 6 hours ago

Associate Claims Examiner

Markel is a fortune 500 company specializing in insurance and reinsurance. They are seeking an Associate Claims Examiner responsible for resolving low complexity claims, managing the claims process, and collaborating with medical professionals to ensure proper claims handling.

Insurance
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Responsibilities

Investigate medical only claims as reported and determine injured worker’s eligibility for workers’ compensation benefits
Administers medical benefits for valid workers’ compensation claims
Manage the progression of the claims process through collaboration with physicians, nurses and other parties as needed
Determine if subrogation exists and takes the steps necessary to initiate recovery efforts
All file handling must be within state statutes, client claims handling guidelines, and best practices
Confirms coverage of claims by reviewing policies and documents submitted in support of claims
Conducts, coordinates, and directs investigation into loss facts and extent of damages
Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure
Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
Focus on driving medical only claims to a resolution/closure
Prepares reports by collecting and summarizing information
Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
Participates in special projects or assists other team members as requested
Attend all state specific trainings as scheduled

Qualification

Claims handlingMedical benefits administrationInvestigation skillsCoverage evaluationReport preparationCollaborationCommunication

Required

US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future

Benefits

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.

Company

As the insurance operations within the Markel Group Inc.

Funding

Current Stage
Late Stage

Leadership Team

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Michael Keimig
President & Chief Executive Officer - Markel Surety Corporation
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Richard Whitt
Retired, Co-chief Executive Officer
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Company data provided by crunchbase