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The Baldwin Group · 1 month ago

Claims Examiner I- MSI

United States

Full-time

Remote

Entry Level

2+ years exp

The Baldwin Group is a leading MGA specializing in insurance solutions. The Claims Examiner is responsible for managing insurance claims, ensuring compliance with state-specific timelines, and providing exceptional service to clients and partners.

CreditEmployee BenefitsFinancial ServicesInsuranceRisk Management

Work & Life Balance

Responsibilities

Maintains compliance with all state-specific timelines and MSI best practices, including timely initial contact, acknowledgments, diary management, and thorough claim documentation

Provides professional, proactive communication to insureds, agents, vendors, public adjusters, and attorneys

Applies policy language accurately to make fair, well-supported coverage decisions

Participates in team trainings, process improvement initiatives, and ongoing development

Meets performance expectations related to responsiveness, claim cycle times, reserve accuracy, and timely claim closure

Investigates and analyzes claim information to determine extent of liability

Handles claims 1st Party Property Claims

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 all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties

Handles all 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

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, internal and external

Provides oversight of TPAs

Qualification

Property & Casualty LicenseClaims Handling ExperienceInsurance Policy KnowledgeCustomer Service SkillsAnalytical SkillsCommunication SkillsNegotiation SkillsTeam Collaboration

Required

High School/GED

2-3 years' experience in claims

Must have Property & Casualty Insurance License

Company

The Baldwin Group

The Baldwin Group is an advisory firm that delivers insurance, risk mitigation, and wealth management solutions for businesses. It is a sub-organization of The Baldwin Group.

Founded in 2011

Tampa, Florida, USA

1001-5000 employees