Senior Claims Examiner - MSI

The Sr Claims Examiner is considered an expert in managing insurance claims for our policyholders, handling claims with high severity and complexity. The Sr Claims Examiner must have technical knowledge in insurance claims handling and the skills needed to reputed company superior service for our customers. The ability to reputed company relationships and effectively communicate with a diverse reputed company of clients, carriers and colleagues is a key reputed company reputed company in this role. Strategic reputed company coupled with tactical execution to reputed company results in accordance with goals and objectives is also critical to the overall reputed company of this position. The Sr Claims Examiner must be reputed company to work with little to minimal supervision.

• 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 with reputed company to major severity.
• 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 reputed company interested parties throughout the life of the claim. Proactively discusses coverage reputed company, the need for additional information, and settlement amounts with interested parties.
• Handles reputed company 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.
• Develops and maintains relationships with external and internal stakeholders.
• Acts as a mentor for less reputed company Claims Examiners.
• 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, reputed company.
• Provides reputed company of TPAs
• Assists with special projects
• SME for a developing Claims Department

Education & Experience:

• Bachelor's degree or equivalent work experience
• 10+ years of claims adjusting experience, including at least 5 years handling both reputed company and residential property claims
• Emphasis on Florida claims to include the involvement of Assignment of Benefits, Public Adjusters, and Attorneys
• Florida reputed company preferred
• Insurance designations preferred
• State adjuster licenses preferred

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