Claims Examiner, Liability

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.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

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

• Handle third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through resolution, including negotiating settlements • Evaluate insurance policies and make coverage determinations • Draft Reservation of Rights letters and coverage disclaimers • Contact policyholders, claimants, and other parties to gather information and conduct investigations • Investigate claims to determine validity and potential liability • Evaluate bodily injury and property damage, determine exposures, and set appropriate reserves • Manage claim loads efficiently and independently • Maintain timely file reserves and reevaluate pending reserves throughout the claim lifecycle • Manage defense counsel, including claim strategy, exposure evaluation, invoice review, mediations, and settlement conferences • Engage and monitor experts and vendors while controlling expenses • Draft large-loss and leadership reports • Evaluate, negotiate, and determine settlement values • Communicate coverage decisions, information needs, and settlement amounts to interested parties • Maintain an organized diary system and complete assigned claims inventory • Acquire and maintain multiple state adjuster licenses and continuing education requirements • Develop relationships with internal and external stakeholders • Identify questionable risks, red flags, and fraud indicators and alert the Special Investigation Unit • Identify subrogation opportunities and protect recovery interests • Mentor less experienced Claims Examiners • Maintain well-drafted claim file notes and documentation • Assist with special projects

🎯 Requirements

• Bachelor’s degree or equivalent work experience • 5+ years of casualty claims adjusting experience • First-Party Property experience is a plus • Insurance designations preferred • Must have a State Adjuster License(s); California, Florida, and Texas licenses are desirable • Willingness to expand licenses as needed • Ability to communicate clearly and professionally over the phone and through written correspondence • Strong organizational and time management skills • Strong writing skills • Excellent analytical, investigative, and negotiation skills • Proficiency with Microsoft Office, Teams, Word, Excel, and other computer systems and technologies • Ability to work with little to minimal supervision in a fast-paced environment • Ability to manage a caseload from inception to resolution • Ability to adhere to state/local regulations, including NJ/PA Unfair Claims Practices and Guidelines

🏖️ Benefits

• Superior customer service-focused work environment • Remote work arrangement • Continuing education requirements/maintenance for state adjuster licenses • Professional development through mentoring less experienced Claims Examiners

📊 Check your resume score for this job

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

Upload Resume