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Direct Claims Jobs (NOW HIRING)

Sr. Claims Examiner

Omaha, NE · Hybrid

$78K - $107K/yr

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 ...

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Direct Claims information

See salary details

$30.5K

$64.6K

$90K

How much do direct claims jobs pay per year?

As of Jun 11, 2026, the average yearly pay for direct claims in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a Direct Claims Specialist, and why are they important?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

More about Direct Claims jobs
What cities are hiring for Direct Claims jobs? Cities with the most Direct Claims job openings:
What states have the most Direct Claims jobs? States with the most job openings for Direct Claims jobs include:
Infographic showing various Direct Claims job openings in the United States as of June 2026, with employment types broken down into 67% Full Time, and 33% Temporary. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Executive Claims Examiner

Executive Claims Examiner

Markel Corporation

Richmond, VA • On-site

$97K - $134K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Markel rating

8.8

Company rating: 8.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

53rd of 260 rated insurance


Job description

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it.
The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.Join us and play your part in something special!What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.
Job Responsibilities
  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims
  • Analyzes coverage and communicates coverage positions
  • Conducts, coordinates, and directs investigation into loss facts and extent of damages
  • Directs and monitors assignments to experts and outside counsel
  • 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 either directly or indirectly
  • Prepares reports by collecting and summarizing information
  • Adheres to Fair Claims Practices regulations
  • Assist in training and mentoring of specialists
  • Serves as technical resource to subordinates and others in the organization
  • Review and approve correspondence, reports and authority requests as directed by manager
  • Participates in special projects or assists other team members as requested
  • Travel to mediations, trials, and conferences as required
  • Represents Markel's claims expertise on external panels and industry forums
  • Coordinates loss information for senior business stakeholders and presents during monthly/quarterly business meetings
  • Contributes to maintenance of claims guidelines and best practice procedures
  • Delivers technical training to colleagues and external contacts as appropriate
  • Ensures effective vendor and litigation management on claims with a focus on minimizing indemnity exposure and mitigating vendor and legal expense
  • Steps in for manager to assume managerial duties when manager is unavailable or requires assistance

Education
  • Bachelor's Degree required

Certification
  • Must have or be eligible to receive claims adjuster license.
  • Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or
  • I-Lead or other Management Training

Work Experience
  • Minimum of 10 years of claims handling experience or equivalent combination of education and experience
  • Experience handling high exposure bodily injury and property damage claims

Skill Sets
  • Market leading specialist knowledge within casualty lines
  • Expert policy language skills enabling accurate and consistent policy wording interpretation
  • Experience in negotiation, mediation and arbitrations
  • Experience in conducting technical claims audits and effectively following up on findings
  • Ability to manage claims outside of local jurisdiction where appropriate, including understanding of laws and regulations
  • Strong senior stakeholder management experience, both internal (underwriting, distribution, actuarial, finance and executive management) and external (brokers, major account clients)
  • Ability to influence claims stakeholders and to effectively direct claims strategy
  • Ability to lead within a team environment
  • Strong presentation skills
  • Excellent written and oral communication skills
  • Strong analytical and problem-solving skills
  • Strong organization and time management skills
  • Ability to deliver outstanding customer service
  • Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
  • Ability to work in a team environment
  • Strong desire for continuous improvement

#LI-Hybrid
#LI-SY
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Executive Claims Examiner is $97,520 - $134,090 with 25% incentive.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
  • 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.

Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
  • All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.

  • All legitimate communications with Markel recruiters will come from Markel.com email addresses.

We would also ask that you please report any job employment scams related to Markel to rarecruiting@markel.com.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the rarecruiting@markel.com.
No agencies please.