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The Baldwin Group logo
The Baldwin Group

CAC, part of The Baldwin Group, is a leading insurance broker and advisor that provides expertise and placement capabilities across the spectrum of insurance and capital markets. Our team defines our success. We recruit and retain the industry’s best talent with deep knowledge and experience in their respective segments, products, and industries. We root for each other, as we are all connected and aligned to serving clients in a better and smarter way.

Claims Examiner II

Claims SpecialistClaims SpecialistOtherRemoteSeniorTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

99 days ago

Salary

0

Seniority

Senior

High School5 yrs expEnglish

Job Description

Claims Examiner II

The Baldwin Group

• 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 of a high level of complexity. • Engage experts to assist in the evaluation of the claim. • Communicates with all interested parties throughout the life of the claim.

Job Requirements

  • 5-9 years' experience in claims
  • Must have Property & Casualty Insurance License
  • High School/GED education

Benefits

  • Health insurance
  • Dedicated customer service
  • Professional development opportunities

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MSI, part of The Baldwin Group logo

Claims Examiner II- MSI

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Gallagher logo

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OtherRemoteTeam 1,001-5,000H1B Sponsor

• 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 of a high level of complexity. • Assist 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. • Acquire and maintain a state adjuster’s license and meet state continuing education requirements. • 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

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