The Baldwin Group · 22 hours ago
Claims Improvement Specialist - MSI
United States
Full-time
Remote
Senior Level
5+ years expThe Baldwin Group is a leading MGA that specializes in creating insurance solutions. They are seeking a Claims Improvement Specialist to enhance customer experience and eliminate claims inefficiencies by analyzing claims data and supporting the overall Claims organization.
CreditEmployee BenefitsFinancial ServicesInsuranceRisk Management
Responsibilities
Administer consistent quality improvement reviews of claim files
Analyze the handling, investigation, coverage application and payments of claims
Develop and execute effective strategies that support MSI’s claims activity, drives a culture of service, and identifies/corrects performance deficiencies
Compile metrics and trends regarding claim handling and translate into user-friendly documentation
Assist in ensuring adherence to claims handling best practices / service levels, claims are paid correctly / timely, and compliance with policy contracts / state mandated claims handling requirements
Recommend processes for greater efficiency and improved claim handling
Identify and recommend training needs for the Claims Department
Collaborate with other members of the Claims QI and Training Team, Claims Department, and other departments in the organization
Timely completion of assigned tasks and projects
Maintain knowledge and compliance of company procedures, claim related statutes and insurance regulations and other legal requirements
High level of customer service for internal colleagues and external clients/partners
Contribute to the goals and objectives of the team and the organization
Provide best in class service and support for MSI colleagues, policyholders, agents, and business partners
Foster strong relationships with MSI colleagues, TPA partners, and other business partners
Assist in ensuring there are effective processes in place to manage the quality of the work and service levels for all claim vendors/TPAs
Assist in ensuring there are effective processes in place to support all audit and compliance related activities
Qualification
Required
Bachelor's degree preferred
All-lines Adjuster License
Five plus years of claims handling experience
In-depth knowledge of claims handling best practices
Ability to develop effective strategies to support the overall claims effort and the ability to effectively communicate those strategies to all levels of the organization / external business partners
Experience analyzing processes and developing / implementing plans to optimize both performance as well as the user experience
Strong analytical and quantitative skills and ability to discern with solid decision-making capabilities
Strong customer service, written communication, and verbal communication skills
Proficiency with Microsoft Office Applications
Ability to make decisions with the best interest of the firm, colleagues, policyholders, and business partners in mind
Ability to demonstrate the firm's core values, exuding behavior that is aligned with the corporate culture
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
Chief Insurance Innovation Officer
Richard Tallo
Chief Marketing Officer at The Baldwin Group
Recent News
Beinsure - Insurance, Reinsurance, InsurTech Insights
2026-01-14
2026-01-13
Company data provided by crunchbase