Claims Examiner II - MSI jobs in United States
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MSI · 18 hours ago

Claims Examiner II - MSI

MSI is a leading MGA that combines underwriting expertise with insurer risk capacity to create specialized insurance solutions. The Claims Examiner II will manage complex insurance claims, ensuring superior service and effective communication with clients and stakeholders while executing strategic objectives.

Financial ServicesInsurance

Responsibilities

Analyzes insurance policies and other documents to determine insurance coverage
Investigates and analyzes claim information to determine extent of liability
Handles claims 1st Party Property Claims of a high level of complexity
Assist in suits, mediations and arbitrations. Works with Counsel in the defense of litigation
Sets timely, adequate reserves in compliance with the company’s reserving philosophy
Engages experts to assist in the evaluation of the claim
Monitors vendor performance and controls expense costs
Evaluates, negotiates and determines settlement values
Communicates with all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties
Handles all claims in accordance with Best Practices
Responsible for monitoring and completing assigned claims inventory
Acquire and maintain a state adjuster’s license and meet state continuing education requirements
Provides Best-In-Class customer service for insureds and agents
Updates and maintains the claim file
Identifies opportunities for subrogation and ensures recovery interests are protected
Identifies fraud indicators and refers files to SIU for further investigation
Participates in claims audits, internal and external
Provides oversight of TPAs

Qualification

Property & Casualty Insurance LicenseClaims Handling ExpertiseClaims AnalysisCustomer ServiceCommunication Skills

Required

High School/GED
5-9 years' experience in claims
Must have Property & Casualty Insurance License

Company

MSI

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MSI is a leading managing general agency (MGA) that thrives on solving challenges, delivering responsive service, and providing an easy insurance experience.

Funding

Current Stage
Late Stage
Company data provided by crunchbase