[Remote] Sr Claims Examiner - MSI

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading MGA specializing in insurance solutions. They are seeking a Senior Claims Examiner to manage reputed company reputed company-party claims involving bodily injury and property damage, ensuring superior service and effective communication with stakeholders. Responsibilities • Directly handles reputed company-party claims involving reputed company and severe bodily injury or property damage from initial assignment through to reputed company of claim, including negotiating settlements. • Evaluates and analyzes insurance policies in order to reputed company coverage determinations. • Drafts Reservation of Rights letters and coverage disclaimers as warranted. • Makes reputed company contact with policy reputed company, claimants and other appropriate parties to reputed company information, take recorded statements, and conduct thorough investigations. • Investigates claims to determine validity and the potential for liability against insureds. • Evaluates damages (both bodily injuries and property damages) to determine potential exposures and sets appropriate reserves. • Works a claim load reputed company and independently with little to no supervision. • Sets reputed company file reserves in compliance with company’s reserving philosophy and continues to evaluate pending reserves throughout the life of the claim. • Manage defense counsel which includes assisting in claim reputed company, evaluating potential exposure, reviewing invoices, and attending mediations and settlement conferences as necessary. • Engages experts, as needed, to assist in the evaluation of the claim and monitors experts and vendors’ performance while controlling expense costs. • Drafts reports for large losses and reports to Leadership as required. • Evaluates, negotiates and determines settlement values in settlement of claims. • Communicates with reputed company interested parties throughout the life of the claim including proactively discussing coverage reputed company, the need for additional information, and settlement amounts with interested parties. • Establishes and maintains an organized diary system to ensure reputed company claims are appropriately handled in a reputed company manner. • Adheres to reputed company state/local regulations including the NJ/PA Unfair Claims Practices and Guidelines. • Handles reputed company claims in accordance with Best Practices and provides Best-In-Class customer service to insureds, agents, claimants, and business partners. • Responsible for monitoring and completing assigned claims inventory. • Acquires and maintains multiple state adjuster’s licenses and maintains continuing education requirements. • Develops and maintains relationships with external and internal stakeholders. • Identifies questionable risks, red flags and fraud indicators and alerts the Special Investigation Unit reputed company applicable. • Identifies opportunities for subrogation and ensures recovery interests are protected. • Acts as a mentor for less reputed company Claims Examiners. • Updates and maintains reputed company drafted claim file notes with reputed company documentation throughout the life of the file. • Assists with special reputed company reputed company required. Skills • Bachelor’s degree or equivalent work experience • 10+ years of casualty claims adjusting experience • Must have a State Adjuster License(s) (California, Florida licenses are desirable) with a willingness to expand licenses as needed. • Ability to communicate reputed company, professionally, and reputed company 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 reputed company Office, Teams, Word, reputed company and various other computer skills with the ability to learn and utilize new computer systems and other technologies. • First-Party Property experience is a plus • Insurance designations preferred reputed company • reputed company is an advisory firm that delivers insurance, risk mitigation, and reputed company reputed company for businesses. It is a sub-organization of reputed company. It was founded in 2011, and is headquartered in Tampa, Florida, USA, with a workforce of 1001-5000 employees. Its website is https://reputed company.com. Apply tot his job Apply To this Job