This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders. The position will have increased responsibility for decision making within their authority and work with minimal oversight and will provide training and be a technical referral point for other team members.
Responsibilities:
Confirms coverage of claims by reviewing policies and documents submitted in support of claims
Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings
Analyzes coverage and communicates coverage positions
Prepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records.
Conducts, coordinates, and directs investigation into loss facts and extent of damages
Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
Negotiates and settles claims typically in litigation either directly or indirectly
Prepares reports by collecting and summarizing information
Present at roundtables to senior claims leaders and underwriters on cases going to trial
Participates in special projects or assists other team members as requested
Travel to mediations, trials, and conferences as required
Coordinates loss information for business stakeholders and presents information during meetings with underwriters and/or insureds when applicable
Contributes to maintenance of claims guidelines and best practice procedures
Delivers technical training to colleagues and external contacts as appropriate
Qualifications:
Bachelor’s degree or equivalent work experience
Participation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
Minimum of 5 years of claims handling experience or equivalent combination of education and experience
Experience with general liability and healthcare claims required
Excellent written and oral communication skills
Strong analytical and problem solving skills
Strong organization and time management skills
Ability to work autonomously in a fast paced environment
Experience in negotiation, mediations and monitoring trials
Ability to influence claims stakeholders and to effectively direct claims strategy
Strong litigation management skills are required including the ability to provide direction and guidance to defense attorneys and other experts while controlling expenses.
Ability to deliver outstanding customer service
Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
Knowledge of tort and contract law
Strong desire for continuous improvement
Markel offers hybrid working schedules of 3 days in the office and 2 days remote.
