[Remote] Sr Claims Examiner - MSI

Note:The job is a remote job and is open to candidates in USA. The Baldwin Group is a leading MGA specializing in insurance solutions. They are seeking aSenior Claims Examiner to manage complex third-party claims involving bodily injury and property damage, ensuring superior service and effective communication with stakeholders. Responsibilities• Directly handles third-party claims involving complex and severe bodily injury or property damage from initial assignment through to resolution of claim, including negotiating settlements.• Evaluates and analyzes insurance policies in order to make coverage determinations. • Drafts Reservation of Rights letters and coverage disclaimers as warranted. • Makes prompt contact with policy holders, claimants and other appropriate parties to gather information, take recorded statements, and conduct thorough investigations. • Investigates claims to determine validity and the potential for liability against insureds. • Evaluates damages (both bodily injuries and property damages) to determine potential exposures and sets appropriate reserves.• Works a claim load efficiently and independently with little to no supervision. • Sets timely file reserves in compliance with company’s reserving philosophy and continues to evaluate pending reserves throughout the life of the claim. • Manage defense counsel which includes assisting in claim strategy, evaluating potential exposure, reviewing invoices, and attending mediations and settlement conferences as necessary. • Engages experts, as needed, to assist in the evaluation of the claim and monitors experts and vendors’ performance while controlling expense costs.• Drafts reports for large losses and reports to Leadership as required. • Evaluates, negotiates and determines settlement values in settlement of claims. • Communicates with all interested parties throughout the life of the claim including proactively discussing coverage decisions, the need for additional information, and settlement amounts with interested parties. • Establishes and maintains an organized diary system to ensure all claims are appropriately handled in a timely manner. • Adheres to all state/local regulations including the NJ/PA Unfair Claims Practices and Guidelines.• Handles all claims in accordance with Best Practices and provides Best-In-Class customer service to insureds, agents, claimants, and business partners. • Responsible for monitoring and completing assigned claims inventory. • Acquires and maintains multiple state adjuster’s licenses and maintains continuing education requirements. • Develops and maintains relationships with external and internal stakeholders. • Identifies questionable risks, red flags and fraud indicators and alerts the Special Investigation Unit when applicable.• Identifies opportunities for subrogation and ensures recovery interests are protected. • Acts as a mentor for less experienced Claims Examiners. • Updates and maintains well drafted claim file notes with proper documentation throughout the life of the file. • Assists with special projects when required. Skills• Bachelor’s degree or equivalent work experience• 10+ years of casualty claims adjusting experience• Must have a State Adjuster License(s) (California, Florida licenses are desirable) with a willingness to expand licenses as needed.• Ability to communicate clearly, professionally, and provide superior customer service over the phone and through written correspondence. • Strong organizational and time management skills. • Strong writing skills. • Excellent analytical, investigative, and negotiation skills. • Proficient with Microsoft Office, Teams, Word, Excel and various other computer skills with the ability to learn and utilize new computer systems and other technologies. • First-Party Property experience is a plus• Insurance designations preferredCompany Overview• The Baldwin Group is an advisory firm that delivers insurance, risk mitigation, and wealth management solutions for businesses.It is a sub-organization ofThe Baldwin Group. It was founded in 2011, and is headquartered in Tampa, Florida, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job