Claim Examiner I - MSI

The Baldwin Group

4d•Remote

About The Position

MSI is seeking a Claims Examiner to support the expansion of its in-house renters claims handling capabilities. The Claims Examiner manages insurance claims for policyholders and applies technical claims-handling knowledge while delivering superior customer service. Building relationships and communicating effectively with clients, carriers, and colleagues are key to success. Previous renters’ claims experience is valued but is not required.

Requirements

Must have a Property & Casualty Insurance License or be willing to obtain one within the first 90 days of hire and maintain it thereafter.
Ability to communicate clearly and professionally and provide superior customer service by phone and in writing.
Strong organizational and time-management skills.
Strong writing skills.
Excellent analytical, investigative, and negotiation skills.
Proficiency with Microsoft Office, Teams, Word, Excel, and other computer skills, with the ability to learn and use new systems and technologies.

Nice To Haves

Associate’s or bachelor’s degree preferred.
Claims-handling experience preferred.
Renters’ claims-handling experience is a plus but is not required.

Responsibilities

Investigate and analyze claim information to determine the extent of liability.
Handle first-party property claims.
Assist with suits, mediations, and arbitrations, and work with counsel in the defense of litigation.
Set timely and adequate reserves in compliance with the company’s reserving philosophy.
Engage experts to assist in claim evaluation.
Monitor vendor performance and control expenses.
Evaluate, negotiate, and determine settlement values.
Communicate with interested parties throughout the life of each claim.
Proactively discuss coverage decisions, requests for additional information, and settlement amounts with interested parties.
Handle claims in accordance with best practices.
Monitor and complete assigned claims inventory.
Acquire and maintain a state adjuster’s license and meet state continuing education requirements.
Provide best-in-class customer service to insureds and agents.
Update and maintain claim files.
Identify subrogation opportunities and protect recovery interests.
Identify fraud indicators and refer files to SIU for further investigation.
Participate in internal and external claims audits.
Provide oversight of third-party administrators (TPAs).