[Hiring] Claims Examiner I @MSI, part of 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.

• 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.