Senior Claims Examiner

Job not on LinkedIn

🕒 May 6

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

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

Logo of The Baldwin Group

The Baldwin Group

1001 - 5000 employees

💸 Finance

🤝 B2B

💰 $170M Post IPO debt on 2023-10

Finance • B2B

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

• Considered an expert in managing insurance claims for policyholders • Handle claims with high severity and complexity • Develop relationships and communicate effectively with a diverse range of clients • Analyze insurance policies and documents to determine coverage • Investigate and analyze claim information to determine liability • Handle complex to major severity claims • Assist in suits, mediations, and arbitrations • Work with Counsel in the defense of litigation • Set timely, adequate reserves in compliance with company philosophy • Engage experts to assist in evaluation of claims • Monitor vendor performance and control expense costs • Evaluate, negotiate and determine settlement values • Communicate with all interested parties throughout the life of the claim • Proactively discuss coverage decisions, information needs, and settlement amounts • Handle all claims in accordance with Best Practices • Monitor and complete assigned claims inventory • Identify opportunities for subrogation and protect recovery interests • Identify fraud indicators and refer files to SIU for investigation • Participate in claims audits, internal and external • Provide oversight of TPAs • Assist with special projects

🎯 Requirements

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

🏖️ Benefits

• Best-In-Class customer service for insureds and agents • Opportunity to mentor less experienced Claims Examiners • State adjuster license and continuing education support

Apply Now

Similar Jobs

🕒 May 6

Spotter Labs

1 - 10

🚗 Transport

🤖 Artificial Intelligence

☁️ SaaS

Claims Specialist at Spotter AI reviewing and assessing trucking claims. Ensure prompt and fair assessments while collaborating with clients and various stakeholders.

🕒 May 6

UFG Insurance

501 - 1000

💸 Finance

🤝 B2B

Claims Representative I responsible for investigating and settling auto physical damage claims for UFG Insurance. Focus on thorough investigations, coverage verification, and effective resolution.

🕒 May 6

Reserv Claims

1 - 10

☁️ SaaS

🤝 B2B

🤖 Artificial Intelligence

Transportation Claims Adjuster responsible for managing customer claims at Reserv, a tech-driven insurtech startup. Collaborating with customers and tech teams to streamline the claims process.

🕒 May 6

Reserv Claims

1 - 10

☁️ SaaS

🤝 B2B

🤖 Artificial Intelligence

Claims Adjuster managing high-exposure rideshare cases and litigation strategy for a leading insurtech. Collaborating with stakeholders to deliver timely and thoughtful outcomes in claims resolution.

🕒 May 6

Risk Strategies Company

5001 - 10000

🏢 Enterprise

💸 Finance

Lead Claims Specialist providing ultimate claim service for insurance claims at Risk Strategies. Advocating for clients, evaluating complex claims, and overseeing documentation and follow-ups.