Associate Claims Examiner

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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The Baldwin Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🏥 Healthcare

⚖️ Legal

💰 $170M Post IPO debt on 2023-10

Consulting • Healthcare • Legal

The Baldwin Group is a national advisory firm specializing in risk management and insurance brokerage, offering comprehensive solutions for businesses and individuals. It provides commercial insurance, employee benefits, retirement consulting, private risk and wealth management services, plus specialty offerings like reinsurance and MGAs, tailoring strategies to protect assets and support growth. The firm emphasizes collaboration, market insights, and customized plans for companies across industries as well as high-net-worth individuals.

📋 Description

• Investigate and analyze basic claim information to support coverage and liability determinations under supervision • Handle low-complexity First Party Property and/or Renters Claims according to established guidelines and best practices • Support higher-level examiners with suits, mediations, arbitrations, and litigation-related tasks • Assist with setting initial reserves with senior staff review and approval • Engage experts or vendors when directed, monitor vendor performance, and help control expenses • Evaluate, negotiate, and recommend settlement values for simple claims under supervision • Communicate with policyholders, agents, and other parties throughout the claim lifecycle • Identify and escalate requests for additional information, coverage questions, and settlement discussions • Process claims according to company Best Practices and established procedures • Monitor and work toward completing assigned low-complexity claims inventory • Deliver customer service to insureds and agents through phone, email, and written correspondence • Update and maintain accurate claim files and documentation • Identify potential subrogation opportunities or fraud indicators and escalate them appropriately • Participate in claims training, audits, and quality reviews • Support oversight of TPAs and other vendors on basic matters under direction

🎯 Requirements

• High school diploma or equivalent required • Associate’s or Bachelor’s degree preferred • No prior claims handling experience required • Related experience in customer service, insurance, claims, or administrative roles is a plus • Must obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire and maintain a license going forward • Ability to communicate clearly and professionally by phone and in writing • Good organizational and time management skills • Solid writing skills • Basic analytical and investigative abilities • Developing negotiation skills • Proficient with Microsoft Office, including Teams, Word, and Excel • Willingness to learn and adapt to new computer systems, technologies, and claims software • Must meet state continuing education requirements for the adjuster’s license

🏖️ Benefits

• Company support provided where applicable for obtaining the Property & Casualty Insurance Adjuster License • Claims training, audits, and quality reviews • Remote work arrangement

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