Claim Examiner I
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Job Description
Claims Examiner managing first-party property claims for MSI, a specialized insurance solutions provider. Investigating liability, negotiating settlements, and delivering customer service remotely across the US.
Responsibilities:
- Investigate and analyze claim information to determine the extent of liability
- Handle First Party Property Claims
- Assist in suits, mediations, and arbitrations and work with Counsel in litigation defense
- Set timely, 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 all interested parties throughout the claim lifecycle
- Discuss coverage decisions, additional information needs, and settlement amounts with interested parties
- Handle claims in accordance with Best Practices
- Monitor and complete assigned claims inventory
- Provide best-in-class customer service for insureds and agents
- Update and maintain claim files
- Identify subrogation opportunities and protect recovery interests
- Identify fraud indicators and refer files to SIU
- Participate in internal and external claims audits
- Provide oversight of TPAs
Requirements:
- Previous renters' claim handling experience is a plus but not required
- Technical knowledge of insurance claims handling
- Ability to build relationships and communicate effectively with diverse clients, carriers, and colleagues
- Ability to communicate clearly and professionally and provide superior customer service over the phone and through written correspondence
- Strong organizational and time management skills
- Strong writing skills
- Excellent analytical, investigative, and negotiation skills
- Proficient with Microsoft Office, Teams, Word, Excel, and other 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 going forward
- Must acquire and maintain a state adjuster’s license and meet state continuing education requirements
Benefits:
- Full-time employment
- Remote work arrangement for the United States
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