Manager, Claims Compliance (Open to Remote Location)

Company Information:

What we look for

Our exceptional and motivated employees are our greatest strength. Our employees provide the highest level of

customer service and help maintain our position as a leader in the global marketplace.

Markel Style

The Markel Style is what makes us stand out from our competitors. It's our core value which should underpin how we do business, while influencing our behavior and performance. We are looking for people who have potential and share our passion to live the Markel Style, which is described in more detail below.

If you think you have these core attributes we want to hear from you.

Job Summary:

This position will be responsible for managing a team of Claims compliance professionals possessing varied experience levels. This position will oversee compliance activities with low to high complexity and provide direction, coaching, and training. This position will report to the Director or Senior Director of Claims Compliance and be responsible... for conveying the organization's objectives and priorities to staff and measure progress towards stated goals.

Job Responsibilities

• Develop, direct, prepare and deliver compliance advice or other compliance assignments and projects
• Oversee regulatory advice and program design for Medicare/Medicaid, licensing, market conduct examinations, vendor oversight
• Oversee contract negotiation, advice and drafting for Claims, including claims service agreements with third-party administrators, independent adjusters, and other vendors
• Review and approve correspondence and reports
• Assess and evaluate individual compliance advice professional and team performance, provide feedback and develop training needs
• Assist in preparation of budgets, evaluation of expenses and assess resource needs
• Foster and encourage strong relationships with internal stakeholders (Claims, Legal, Regulatory and Compliance, PLL, Actuarial)
• Promote and enhance strong relationships with customers and channel partners
• Lead departmental and organizational projects

Requirements/Work Experience

• Broad regulatory and contract advice experience required
• Broad experience across multiple Claims lines of business (including Workers' Compensation, Casualty/GL, Property/Marine and Professional Liability) required
• Minimum of 10 years of Claims experience or equivalent combination of education and experience
• Experience with P&C insurance Medicare/Medicaid compliance (including Section 111 reporting, lien negotiation and MSAs) required
• Experience with contract negotiation and drafting required
• Experience with broader Claims compliance obligations (including Fair Claims handling acts and adjuster licensing) strongly preferred
• Experience developing and delivering training required
• Experience with project/program management preferred
• Experience with GuideWire's Claim Center preferred
• Prior management experience required

Skill Sets Needed

• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong desire for continuous improvement
• Strong organization and time management skills
• Ability to deliver outstanding customer service
• Strong skills in Microsoft Office products (Excel, Sharepoint, Outlook, Power Point, Word)
• Comfortable working in a virtual team

Education Requirement

• Bachelor's degree required
• JD required
• RN or other medical degree preferred

Certifications Preferred

• Successful achievement of industry designations (CPCU, ACP, ARC, CCP, MCM, AIE, CIE)
• I-Lead or other Management Training

Please note:

Markel has a phased approach for re-entry into our buildings that is designed to balance the ongoing health, safety, and well-being of our employees with operational considerations and regulatory/ governmental requirements and recommendations. Remote working is still the preferred method of working for most positions at this time. Effective 6/1/21 we will implement a return to work strategy that allows for three days in the office every other week. We will update with further developments.

“Why work for us?”

Diversity and inclusion

Markel is truly a global and diverse company. We believe that diversity makes us better business partners and that embracing people's differences can bring amazing results and fuel innovation. We have a portfolio of businesses and product lines that operate around the world.

Community involvement

Markel has a rich heritage of supporting communities across the world where our customers and employees live and work. Giving back is part of our history and our future. Our employees share in this philosophy through volunteering, mentoring and fundraising.

Commitment to open doors

Markel is committed to creating the best work environment. Our open-door policy is essential in recognizing business issues as they rise and to address the changing needs of our diverse and global workforce. Challenging management is a component of the Markel Style-some of our best ideas start from a conversation between a manager and an employee.

Entrepreneurial spirit

As the Markel Style states, we pursue excellence, strive for a better way, and share the success of others. Markel associates proactively seek new business opportunities, bringing further success to Markel