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Associate Claims Consultant
The Baldwin Group. Build relationships with clients with the goal of client retention .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims management, client retention, and compliance with industry standards while fostering positive client relationships. Proficient in analyzing claims processes and implementing improvements to enhance efficiency and customer satisfaction.
Highest-signal resume keywords
Claims ManagementProperty & Casualty Insurance LicenseMS Office ProficiencyClient Relationship ManagementRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationClaims AnalysisData ReviewProcess ImprovementClaims Processing
Soft Skills
Effective CommunicationProfessionalism Under PressureOrganizational SkillsIndependencePatience
Tools & Technologies
Microsoft Office SuiteClaims Management Software
Certifications & Qualifications
Property & Casualty Insurance License
Industry Keywords
Client RetentionInsurance CoverageRegulatory RequirementsClaims ServicesEmerging Regulations
About the role
Key responsibilities & impact- Build relationships with clients with the goal of client retention
- Develop and execute stewardship plans regarding claim services
- Review, analyze, and determine the appropriate submission path for claims
- Ensure prompt and accurate claims adjudication
- Provide assistance and support to Claims Specialists and Analyst colleagues
- Collaborate to ensure efficient claims processing and resolution
- Review daily data to identify potential trends or challenges requiring managerial or underwriting review
- Report findings accordingly
- Deliver outstanding client service and foster positive client and customer relationships throughout the claims process
- Ensure compliance with industry standards, company procedures, and regulatory requirements
- Maintain confidentiality of sensitive information
- Stay updated on industry trends, emerging regulations, and claims-management best practices
- Contribute to process improvement initiatives to streamline claim handling, increase efficiency, and enhance customer satisfaction
- Handle other related duties as assigned by the Claims Consultant or management
Requirements
What you’ll need- 3+ year's experience in claims and insurance coverage knowledge
- Must have Property & Casualty Insurance License or be willing to obtain any state required license within a specified time frame of starting employment with the firm
- Proficient in MS Office Word and Excel
- Intermediate proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Ability to learn new system programs, technologies, and other appropriate software systems
- Ability to drive a claim from first intake through the process to satisfactory submission with minimal supervision
- Ability to work independently and prioritize assignments
- Effective oral and written communication skills
- Ability to remain professional under pressure and display patience
- Demonstrates the organization’s core values and behavior aligned with the firm’s culture