Claims Improvement Specialist - MSI

MSI, part of The Baldwin Group

17h•Remote

About The Position

Why MSI? We thrive on solving challenges. As a leading MGA, MSI combines deep underwriting expertise with insurer and reinsurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners. Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. Bring on your challenges and let us show you how we build insurance better. At MSI, we’re building a technology-first and data-driven Claims organization to enhance customer experience while eliminating traditional claims inefficiencies. The Claims Quality Improvement Specialist will support claims efforts while assisting the Claims Quality Improvement Manager in improving our overall Claims organization. This position requires the ability to administer consistent reviews of claims files. This position also analyzes the data from claim file reviews, compiles related reports, and assists in identifying training opportunities. As MSI continues to create and distribute insurance products that take advantage of market opportunities, the Claims Quality Improvement Specialist must collaborate with colleagues to support those products accordingly. The position requires an in-depth knowledge of claims handling best practices, the ability to effectively leverage technology, effective strategy development, and precise execution.

Requirements

Bachelor’s degree preferred.
All-lines Adjuster License.
Five plus years of claims handling experience.
In-depth knowledge of claims handling best practices.
Ability to develop effective strategies to support the overall claims effort and the ability to effectively communicate those strategies to all levels of the organization / external business partners.
Experience analyzing processes and developing / implementing plans to optimize both performance as well as the user experience.
Strong analytical and quantitative skills and ability to discern with solid decision-making capabilities.
Strong customer service, written communication, and verbal communication skills.
Proficiency with Microsoft Office Applications.
Ability to make decisions with the best interest of the firm, colleagues, policyholders, and business partners in mind.
Ability to demonstrate the firm’s core values, exuding behavior that is aligned with the corporate culture.

Responsibilities

Administer consistent quality improvement reviews of claim files.
Analyze the handling, investigation, coverage application and payments of claims.
Develop and execute effective strategies that support MSI’s claims activity, drives a culture of service, and identifies/corrects performance deficiencies.
Compile metrics and trends regarding claim handling and translate into user-friendly documentation.
Assist in ensuring adherence to claims handling best practices / service levels, claims are paid correctly / timely, and compliance with policy contracts / state mandated claims handling requirements.
Recommend processes for greater efficiency and improved claim handling.
Identify and recommend training needs for the Claims Department.
Collaborate with other members of the Claims QI and Training Team, Claims Department, and other departments in the organization.
Timely completion of assigned tasks and projects.
Maintain knowledge and compliance of company procedures, claim related statutes and insurance regulations and other legal requirements.
High level of customer service for internal colleagues and external clients/partners.
Contribute to the goals and objectives of the team and the organization.
Provide best in class service and support for MSI colleagues, policyholders, agents, and business partners.
Foster strong relationships with MSI colleagues, TPA partners, and other business partners.
Assist in ensuring there are effective processes in place to manage the quality of the work and service levels for all claim vendors/TPAs.
Assist in ensuring there are effective processes in place to support all audit and compliance related activities.