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Baldwin Group

Tailored insurance and risk management solutions

Claim Examiner 1

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listedRemote

About the Job

Requirements

  • Ability to communicate clearly and professionally and provide customer service over the phone and through written correspondence.
  • Strong organizational and time-management skills.
  • Strong writing skills.
  • Excellent analytical, investigative, and negotiation skills.
  • Proficiency with Microsoft Office, Teams, and Word and Excel, along with the ability to learn and use new computer systems and technologies.
  • A Property & Casualty Insurance License, or willingness to obtain one within the first 90 days of hire and maintain it.
  • Ability to acquire and maintain a state adjuster's license and meet state continuing education requirements.

Responsibilities

  • Investigate and analyze claim information to determine the extent of liability.
  • Handle First Party Property Claims.
  • Assist in suits, mediations, and arbitrations, and work with counsel in the defense of litigation.
  • Set timely, adequate reserves in compliance with the company’s reserving philosophy.
  • Engage experts to assist in claim evaluation.
  • Monitor vendor performance and control expenses.
  • Evaluate, negotiate, and determine settlement values.
  • Communicate with all interested parties throughout the life of the claim.
  • Proactively discuss coverage decisions, the need for additional information, and settlement amounts with interested parties.
  • Handle claims in accordance with Best Practices.
  • Monitor and complete assigned claims inventory.
  • Provide best-in-class customer service for insureds and agents.
  • Update and maintain claim files.
  • Identify opportunities for subrogation and ensure recovery interests are protected.
  • Identify fraud indicators and refer files to SIU for further investigation.
  • Participate in internal and external claims audits.
  • Provide oversight of TPAs.

Desired Qualifications

  • An associate's or bachelor's degree is preferred.
  • Claims handling experience is preferred; renters' claims handling experience is a plus.

About the Company

Baldwin Group

Tailored insurance and risk management solutions

Baldwin Group provides customized insurance and risk-management services for individuals, families, and businesses. It offers digital embedded renters coverage, high-value homeowners insurance, and business protections such as cyber liability and habitational property, all through a network of agents, brokers, wholesalers, and brand partners. The company stands out by pairing consumer and commercial insurance under one umbrella and by running Juniper Re, a specialist reinsurance brokerage started in 2023. Its goal is to reduce complexity in risk management and help clients stay protected and supported through fast, technology-enabled service.

Company size
1,001-5,000
Company stage
IPO
Headquarters
Tampa, FL
Founded
2011

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