[Hiring] Claims Examiner @Baldwin Group Colleague, Inc.
Apr 04, 2025 - Baldwin Group Colleague, Inc. is hiring a remote Claims Examiner. đź’¸ Salary: unspecified. đź“ŤLocation: USA.
Role Description
The Claims Examiner is considered an expert in managing insurance claims for our policyholders. The Claims Examiner must have technical knowledge in insurance claims handling and the skills needed to provide superior service for our customers. The ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues is a key success factor in this role. Strategic vision coupled with tactical execution to achieve results in accordance with goals and objectives is also critical to the overall success of this position.
- 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.
- Assists 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.
- Acquires and maintains a state adjuster’s license and meets 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.
Qualifications
- Bachelor’s degree or equivalent work experience
- 1-3 years of claims adjusting experience
- Can handle Assignment of Benefits, Public Adjusters, and Attorneys
- State adjuster licenses preferred
- Xacitmate and/or Symbility experience preferred
Company Description
The Baldwin Group (previously Baldwin Risk Partners) is a cohesive group of experts in business insurance, employee benefits, retirement planning, and all areas of private and personal insurance. Since 2011, we’ve evolved from a local business into a national firm with a vast network of specializations serving two million clients across the country. At The Baldwin Group, we provide solutions so our clients can pursue what’s possible for themselves, their families, and their businesses. Whether renting a first apartment, opening a small business or taking a company public, we offer solutions to support clients at every step of their journey giving them peace of mind to pursue their purpose, passion, and dreams. We Protect the Possible.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
đź’¸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 04, 2025
|
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
