Senior Claims Examiner II - Complex Property (Remote)

MSI, part of The Baldwin Group; United States; À distance; USD 55 000 - 75 000; Plein temps

Résumé du poste

MSI, part of The Baldwin Group, is seeking a Claims Examiner II to manage highly complex claims. You will review policies, determine coverage, and coordinate with counsel on litigation. The role emphasizes expert analysis, timely reserves, and subrogation opportunities.

This remote-friendly position requires a Property & Casualty license, 5–9 years in claims, and a strong focus on superior service for insureds and agents.

Qualifications

• High School/GED is required.
• 5-9 years’ experience in claims.
• Must have Property & Casualty Insurance License.

Responsabilités

• 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.
• 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

Connaissances

Claims handling

Customer service

Communication

Relationship building

Formation

High School/GED

Description du poste

MSI, part of The Baldwin Group, is seeking a Claims Examiner II to manage highly complex claims. You will review policies, determine coverage, and coordinate with counsel on litigation. The role emphasizes expert analysis, timely reserves, and subrogation opportunities.

This remote-friendly position requires a Property & Casualty license, 5–9 years in claims, and a strong focus on superior service for insureds and agents.