The Baldwin Group · 6 hours ago
Claims Examiner II - MSI
United States
Full-time
Remote
Senior Level
5+ years expThe Baldwin Group is a leading MGA specializing in insurance solutions. They are seeking a Claims Examiner II to manage complex insurance claims, requiring technical knowledge and superior customer service skills.
CreditEmployee BenefitsFinancial ServicesInsuranceRisk Management
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 of a high level of complexity
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
Required
High School/GED
5-9 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.
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$1.5BKey Investors
Gallatin Point Capital
2025-12-10Post Ipo Debt· $600M
2025-03-26Post Ipo Debt· $110M
2024-05-08Post Ipo Debt· $600M
Leadership Team
Jim Roche
President, The Baldwin Group and CEO, Underwriting, Capacity, & Technology Solutions
Richard Tallo
Chief Marketing Officer at The Baldwin Group
Recent News
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2026-01-14
2026-01-13
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