Claim Examiner I - MSI

MSI, part of The Baldwin Group
•Remote

About The Position

MSI is seeking a Claims Examiner to support its expanding in-house renters claims handling capabilities. The Claims Examiner manages insurance claims for policyholders and uses technical claims-handling knowledge to provide superior customer service. Success in the role requires effective relationship-building and communication with clients, carriers, and colleagues, along with strategic vision and tactical execution aligned with organizational goals. Previous renters’ claims experience is valued but not required.

Requirements

  • 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 computer systems and technologies.
  • Must have a Property & Casualty Insurance License or be willing to obtain one within the first 90 days of hire and maintain it thereafter.

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 the 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 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 the Special Investigation Unit (SIU) for further investigation.
  • Participate in internal and external claims audits.
  • Provide oversight of third-party administrators (TPAs).
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