[Hiring] Associate Claims Examiner @MSI, part of The Baldwin Group

Role Description

The Associate Claims Examiner is an entry-level role dedicated to processing and managing low-complexity insurance claims for our policyholders. This position requires developing technical knowledge of basic claims handling principles and delivering reliable service to customers. Strong communication, attention to detail, and the ability to follow established procedures are essential for success. The role focuses on learning to execute tasks efficiently while contributing to team goals and preparing for future growth in claims handling.

• Assists in investigating and analyzing basic claim information to support determinations of coverage and liability under supervision.
• Handles low-complexity First Party Property and/or Renters Claims, following established guidelines and best practices.
• Supports higher-level examiners in suits, mediations, arbitrations, and litigation-related tasks as needed.
• Assists in setting initial reserves in line with the company’s reserving philosophy, with review and approval from senior staff.
• Helps engage experts or vendors when directed and supports monitoring vendor performance and controlling expenses.
• Learns to evaluate, negotiate, and recommend settlement values for simple claims under supervision.
• Communicates with policyholders, agents, and other parties as directed throughout the claim lifecycle, providing clear and professional updates.
• Proactively identifies and escalates the need for additional information, coverage questions, or settlement discussions to senior examiners.
• Processes all claims in accordance with the company's Best Practices and established procedures.
• Monitors and works toward completing assigned low-complexity claims inventory with guidance.
• Acquires and maintains a state adjuster’s license (or obtains within the first 90 days of hire) and meets state continuing education requirements.
• Delivers best-in-class customer service to insureds and agents through phone, email, and written correspondence.
• Updates and maintains accurate claim files and documentation.
• Assists in identifying potential subrogation opportunities or fraud indicators, and escalates them to the appropriate teams or senior staff.
• Participates in claims training, audits, and quality reviews as assigned.
• Supports oversight of TPAs or other vendors on basic matters under direction.

Qualifications

• Ability to communicate clearly and professionally with a focus on providing superior customer service over the phone and in written correspondence.
• Good organizational and time management skills to handle assigned tasks effectively.
• Solid writing skills for clear documentation and correspondence.
• Basic analytical and investigative abilities, with eagerness to learn more advanced skills.
• Developing negotiation skills through on-the-job training and guidance.
• Proficient with Microsoft Office (including Teams, Word, and Excel) and willing to learn and adapt to new computer systems, technologies, and claims software.

Requirements

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• No prior claims handling experience required; any related experience in customer service, insurance, claims, or administrative roles is a plus.
• Must obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire (company support provided where applicable) and maintain a license going forward.