Senior Claims Adjuster - Investigations & Settlements (Hybrid)

Msig USA; Georgetown (KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

MSIG USA is seeking an experienced Claims Adjuster to manage assigned claims within delegated authority, conduct investigations, and settle fairly under MSMM guidelines. The role involves complex claim analysis, subrogation handling, and ensuring regulatory compliance.

You'll work with underwriters, clients, and providers, maintaining clear case diaries and timely reporting to state agencies. NY/VA experience is a plus, and a high school diploma is required.

Qualifications

• High School diploma or GED required; bachelor’s degree preferred.
• 5+ years of claims experience with settlements, coverage verification, reserves, and investigations.
• New York or Virginia claims handling experience preferred.

Responsibilities

• Receive and analyze new claim assignments to determine investigation needs.
• Identify indemnity issues or coverage questions.
• Conduct timely investigations and arrange surveys as needed.
• Initiate reserve changes within authority and advise supervisor if limits are exceeded.
• Manage timely claim payments and settlements per policy and regulations.
• Maintain case diary and document files; complete reports for agencies.
• May handle subrogation within delegated limits, coordinate with carriers and recovery procedures.
• Coordinate defense counsel if needed and monitor expenditures.
• Maintain ongoing communication with customers and provide timely status updates.
• Ensure compliance with Fair Claims Practices Acts and state licensing requirements.

Skills

Negotiation

Investigation

Reserving

Regulatory knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

MSIG USA is seeking an experienced Claims Adjuster to manage assigned claims within delegated authority, conduct investigations, and settle fairly under MSMM guidelines. The role involves complex claim analysis, subrogation handling, and ensuring regulatory compliance.

You'll work with underwriters, clients, and providers, maintaining clear case diaries and timely reporting to state agencies. NY/VA experience is a plus, and a high school diploma is required.