Claims Examiner II - MSI
Core
Expert in managing complex insurance claims for policyholders, determining liability, and negotiating settlements.
Role type
Senior IC claims examiner (property & casualty)
Builds
Resolutions for high-complexity 1st Party Property Claims
Domain
Insurance (Property & Casualty)
Deliverable
client delivery
Required skills
Insurance claims handling, liability analysis, reserve setting, negotiation, fraud detection, subrogation, litigation support, vendor management, state adjuster licensing
Preferred skills
Strategic vision, tactical execution, relationship building
Technologies
Advanced technology platform for policy lifecycle
Responsibilities
Analyze policies and documents to determine coverage; investigate claims to determine liability; handle high-complexity 1st Party Property Claims; assist in suits, mediations, and arbitrations; set timely reserves; engage experts for claim evaluation; monitor vendor performance; evaluate and negotiate settlement values; communicate with all interested parties throughout the claim lifecycle; identify subrogation opportunities; identify fraud indicators; participate in claims audits; oversee TPAs.
Seniority
Senior, hands-on IC
