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The Baldwin Group · 23 hours ago

Sr Claims Examiner- MSI

United States

Full-time

Remote

Senior Level, Lead/Staff

10+ years exp

The Baldwin Group is a leading MGA that specializes in creating insurance solutions. The Sr Claims Examiner is responsible for managing complex insurance claims, providing exceptional service, and developing relationships with clients and stakeholders.

CreditEmployee BenefitsFinancial ServicesInsuranceRisk Management

Work & Life Balance

Responsibilities

Analyzes insurance policies and other documents to determine insurance coverage

Investigates and analyzes claim information to determine extent of liability

Handles claims 1st Party Property Claims with complex to major severity

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

Develops and maintains relationships with external and internal stakeholders

Acts as a mentor for less experienced Claims Examiners

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

Assists with special projects

Qualification

Property & Casualty LicenseClaims Handling ExpertiseInsurance Policy AnalysisCustomer Service SkillsRelationship BuildingCommunication SkillsMentoring Skills

Required

High School/GED

10+ year's 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