MSI · 15 hours ago
Claims Improvement Specialist - MSI
United States
Full-time
Remote
Senior Level
5+ years expMSI is a leading MGA focused on solving challenges in the insurance sector. The Claims Quality Improvement Specialist will support claims efforts by administering quality reviews, analyzing claims data, and collaborating with colleagues to enhance the overall claims organization.
Financial ServicesInsurance
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
Qualification
Required
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
Company
MSI
MSI is a leading managing general agency (MGA) that thrives on solving challenges, delivering responsive service, and providing an easy insurance experience.
501-1000 employees
Funding
Current Stage
Late StageRecent News
Digital Insurance
2025-07-17
2025-06-26
2024-12-28
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