Claims Examiner II

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Analyze insurance policies and documents to determine coverage • Investigate and analyze claim information to determine liability • Handle complex 1st Party Property Claims • Assist with suits, mediations, and arbitrations • Work with Counsel in the defense of litigation • Set timely, adequate reserves in compliance with company reserving philosophy • Engage experts to evaluate claims • Monitor vendor performance and control expenses • Evaluate, negotiate, and determine settlement values • Communicate with interested parties throughout the claim lifecycle • Discuss coverage decisions, additional information needs, and settlement amounts • Handle claims according to Best Practices • Monitor and complete assigned claims inventory • Provide Best-In-Class customer service to insureds and agents • Update and maintain claim files • Identify subrogation opportunities and protect recovery interests • Identify fraud indicators and refer files to SIU • Participate in internal and external claims audits • Provide oversight of TPAs

🎯 Requirements

• High School/GED • 5–9 years of experience in claims • Must have Property & Casualty Insurance License • Acquire and maintain a state adjuster’s license • Meet state continuing education requirements • Technical knowledge in insurance claims handling • Ability to develop relationships and communicate effectively with diverse clients, carriers, and colleagues • Strategic vision and tactical execution to achieve goals and objectives

🏖️ Benefits

• Best-In-Class customer service focus • Remote work arrangement