[Hiring] Claims Examiner I @The Baldwin Group

Role Description

As we expand our in-house renters claims handling capabilities, we’re seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued. The Claims Examiner is considered an expert in managing insurance claims for our policyholders. The Claims Examiner must have technical knowledge of insurance claims handling and the skills to deliver superior service to our customers. The ability to build relationships and communicate effectively with a diverse range of clients, carriers, and colleagues is a key success factor in this role. Strategic vision, coupled with tactical execution to deliver results aligned with goals and objectives, is critical to the overall success of this position. Previous renters' claim handling experience is a plus but not required.

• Investigates and analyzes claim information to determine the extent of liability.
• Handles First Party Property Claims.
• Assists 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 expenses.
• 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.
• Acquires and maintains a state adjuster’s license and meets 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.

Qualifications

• Ability to communicate clearly, 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 various other computer skills with the ability to learn and utilize new computer systems and other technologies.

Requirements

• Associates or Bachelor’s degree preferred.
• Claims handling experience preferred; Renters’ claims handling experience a plus.
• Must have Property & Casualty Insurance License or be willing to obtain a license within the first 90 days of hire and maintain a license going forward.

Company Description

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. Since its founding in 2015, MSI has grown to offer a wide range of insurance products across commercial, specialty, and personal lines and has reached over $1 billion of in-force premium in its nationwide portfolio.