• Review claims to ensure compliance with established claim entry and claim payment policies and procedures • Review and release pended claims • Process member receipts • Assist in manual claim entry and member reimbursement • Complete claims adjustments • Meet quality and production standards

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Our client is seeking an experienced Large Loss Property Claims Examiner to manage a portfolio of complex, high-severity Residential and Commercial property claims throughout the New England region. This role requires strong technical expertise, sound judgment, and the ability to independently manage high-exposure and litigated claims while delivering strong outcomes and exceptional service to all stakeholders. The ideal candidate has extensive experience handling large loss property claims including litigation management, and a demonstrated ability to collaborate with legal counsel, independent adjusters, experts, and insureds to drive efficient and compliant claim resolution. This is a fully remote position (must reside in a New England state). - Independently manage a caseload of large loss residential and commercial property claims from initial notice through final resolution. - Conduct detailed investigations to determine coverage, liability, and loss exposure in accordance with applicable policy language and state regulations across the New England region. - Establish and maintain accurate financial reserves based on claim developments, expert evaluations, and potential litigation outcomes. - Direct and manage litigation strategy in partnership with defense counsel, including review of pleadings, participation in mediation, arbitration, and trial preparation when necessary. - Evaluate coverage issues, policy interpretation, and complex liability exposures to ensure accurate claim handling and compliance. - Collaborate with independent adjusters, forensic accountants, engineers, and other experts to evaluate damages and determine appropriate claim strategies. - Negotiate settlements within granted authority and develop resolution strategies that balance fair outcomes with loss cost management. - Ensure timely and accurate administration of claims in compliance with state regulations and company guidelines across multiple New England jurisdictions. - Maintain proactive diary management and drive files toward efficient resolution and closure. - Identify potential subrogation and recovery opportunities and coordinate recovery efforts when applicable. - Provide clear and professional communication with insureds, brokers, claimants, legal counsel, and internal stakeholders. - Analyze claim trends and severity drivers and provide recommendations to mitigate overall loss exposure. - Participate in claim reviews, roundtables, and quality assurance discussions to maintain technical excellence and best practices. Qualifications - 7+ years of experience handling large loss residential and/or commercial property claims, including litigated files. - Strong experience managing high-severity and high-exposure claims. - Experience working for an insurance carrier. - Adjuster license required where applicable within New England states or ability to obtain. - Demonstrated ability to set, evaluate, and manage large loss claim reserves effectively. - Strong knowledge of commercial insurance coverage, liability analysis, and litigation management. - Experience coordinating with defense counsel, independent adjusters, and expert vendors. - Skilled negotiator with strong litigation management and settlement strategy experience. - Proficiency with claims management systems and documentation platforms. - Strong analytical, organizational, and decision-making skills. Benefits - $100,000 – $145,000 annually depending on experience plus bonus - Generous PTO - Remote flexibility within the New England region - Comprehensive benefits package including Medical, Dental, Vision, and Life Insurance - Employer 100% match 401k contributions

• Responsible for the review and processing of claims within the claims transactional system, according to plan benefits and contractual reimbursement terms. • Follows established policies and procedures to pay, pend for additional information, or deny claims. • Process claims subject to Coordination of Benefits (COB) according to plan benefits, COB rules and contractual reimbursement terms • Accountable to meet and maintain established department production and quality standards. • Create claim test cases, execute, and report on the results. • Identify and communicate defects or claim system issues to those responsible for configuration. • Work with configuration to remediate and retest defects. • Identify and communicate inventory issues to department’s management. • Works with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner. • Develop and maintain desk top procedures related to claim adjudication. • Audit auto-adjudicated and/or manually processed claims. • Ability to effectively excel in a virtual work environment through active participation in team huddles, Supervisor 1:1s, Instant Messaging, or check-ins.

The Baldwin Group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee Benefits and Benefit Administration, Asset and Income Protection, and Risk Mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. The Baldwin Group has award-winning industry expertise, colleagues, competencies, insurers, and most importantly, a highly differentiated culture that our clients consider an invaluable expansion of their business. The Baldwin Group (NASDAQ: BWIN), takes a holistic and tailored approach to insurance and risk management. ***PREVIOUS CONSTRUCTION EXPERIENCE IS REQUIRED FOR THIS POSITION WITHIN OUR CONSTRUCION PRACTICE*** Position Summary: In this role, you will work directly with clients to assist with all claims falling within the programs we have placed in our Construction Practice. In addition, you will assist with various Risk Management needs such as claims program development and training. Our mission is to provide best in class claims services to our clients and advocate on their behalf. Primary Responsibilities: - Serve as an experienced technical resource (both internally and externally) as respects any claim activities for clients - Established liaison between Client/CRP/Carrier/TPA on all claim related matters - Assist and aid with developing Risk Management Programs and Policies for clients within our Construction Practice group - Participate in new business/prospect meetings - Develop solid relationships with key third party vendor experts including Defense Counsel, TPAs, Adjustment Firms, etc. - Organize, facilitate and participate in any claim related meetings with carrier and TPA partners - Participate in Stewardship Meetings with account team as you will be responsible for leading the claims discussion as the SME in this space - Assist in reporting new losses for clients, including reviewing for proper notice to appropriate coverages and following through to claim closure - Work with Client and Construction practice Client Executives and Directors to create standardized wording in contracts for both Additional Insured and Defense & Indemnification language - Review contracts for potential tender opportunities and discuss merits with Carrier/TPA partners - Develop Special Account Instructions for clients to be used in the handling of their claims with carrier/TPA partners - Provide Emergency Claims Response to clients on an as needed basis - Develop and maintain strong working relationship with insurers, wholesale brokers, and other strategic industry partners - Participate as requested in developing and executing our Construction Practices' corporate level goals and initiatives - Provide strategic support and technical expertise to other Construction Practice / Commercial Risk offices as requested - Comply with agency management system processes and procedures - Other duties as assigned Knowledge, Skills & Abilities and Requirements: - Prior experience lending to Construction Claims is a mandatory requirement for this position - Bachelor’s Degree is required - 10-15+ years of Property and Casualty claims experience, with strong exposure to and experience specifically lending to construction - Strong working knowledge of policy language and coverage (multiple lines of coverage a plus) - Solid organizational and collaborative abilities - Ability to work independently and handle multiple tasks simultaneously - Excellent verbal and written communication skills - Strong working knowledge of various computer systems including MS Office and its various applications. As well as familiarity with various claims and RMIS systems - AIC/SCLA/CPCU/ARM/LPC certification, professional designations are desired The starting pay for this position is $145,000 - $150,000+ annually. Salary is negotiable upon time of hire. IMPORTANT NOTICE: This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodation to applicants and colleagues who need them for medical or religious reasons. #LI-JK1 Click here for some insight into our culture! The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.