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The Baldwin Group · 1 day ago

Claims Platform Analyst - MSI

United States

Full-time

Remote

Senior Level

5+ years exp

The Baldwin Group is a leading MGA specializing in insurance solutions. They are seeking a Claims Platform Analyst to manage and configure their claims platform, ensuring efficient claims processing and liaising between claims operations and technology teams.

CreditEmployee BenefitsFinancial ServicesInsuranceRisk Management

Work & Life Balance

Responsibilities

Collaborate closely with internal teams to configure and build the claims system according to business requirements

Participate in design sessions, testing cycles, and implementation activities

Ensure system settings, workflows, and rules support efficient and accurate claims processing

Identify configuration opportunities to enhance productivity and operational accuracy

Maintain documentation of configuration decisions, workflows, and operational processes

Monitor incoming claims volumes daily and ensure timely, fair, and accurate assignment to examiners across MSI and third-party administrators (TPAs)

Develop and manage workload balancing strategies to ensure equitable distribution based on capacity, licenses, experience, and performance

Identify trends, bottlenecks, or issues in claim routing and work with operations and technology teams to address them

Oversee the creation, maintenance, and accuracy of user profiles within the system

Ensure users have correct permissions, role configurations, and access required to perform their job functions

Partner with HR, management, and IT to support onboarding/offboarding activities and system-related transitions

Act as the primary liaison between the claims business team and the technology team for system performance issues, enhancements, or unexpected behaviors

Communicate system changes, updates, or issues to leadership and frontline staff

Support training efforts by providing subject matter expertise on system features, workflows, and updates

Track workload distribution, capacity, cycle times, and other operational metrics

Provide routine reporting and insights that support strategic decisions around staffing, workload, and process optimization

Recommend process improvements based on data-driven insights

Qualification

Claims management systemsClaims processes knowledgeAnalytical skillsConfiguration experienceCommunication skillsMulti-taskingTechnical aptitudeProblem-solving abilitiesDetail-orientedSelf-driven

Required

5+ years of experience in claims handling, claims operations, or a related field (required)

Strong working knowledge of claims processes, workflows, and regulatory considerations

Strong analytical and problem-solving abilities; comfortable working with operational data

Excellent communication skills with the ability to interface effectively between business and technology teams

Self-driven, detail-oriented, and able to perform under tight deadlines or high-pressure situations

Ability to manage multiple tasks and priorities with minimal oversight

Technical aptitude and comfort working in systems that require configuration (no coding required)

Preferred

Experience using or supporting claims management systems; configuration or implementation experience is highly preferred

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