Associate Claims Examiner

The Baldwin Group

. Investigate and analyze basic claim information to support coverage and liability determinations under supervision .

Posted 11/2/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in handling low-complexity claims, effective communication with policyholders and agents, and strong organizational skills. Capable of supporting claims processes while adhering to established guidelines and best practices.

Highest-signal resume keywords

Property & Casualty Insurance Adjuster LicenseClaims ProcessingCustomer ServiceNegotiation SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisBasic Investigative AbilitiesSettlement NegotiationClaims DocumentationClaims Inventory Management

Soft Skills

Clear CommunicationOrganizational SkillsTime ManagementWriting SkillsAdaptability

Tools & Technologies

Claims SoftwareMicrosoft TeamsMicrosoft WordMicrosoft Excel

Certifications & Qualifications

Property & Casualty Insurance Adjuster License

Industry Keywords

First Party Property ClaimsRenters ClaimsSubrogation OpportunitiesFraud IndicatorsTPA Oversight

About the role

Key responsibilities & impact

Investigate and analyze basic claim information to support coverage and liability determinations under supervision
Handle low-complexity First Party Property and/or Renters Claims according to established guidelines and best practices
Support higher-level examiners with suits, mediations, arbitrations, and litigation-related tasks
Assist with setting initial reserves with senior staff review and approval
Engage experts or vendors when directed, monitor vendor performance, and help control expenses
Evaluate, negotiate, and recommend settlement values for simple claims under supervision
Communicate with policyholders, agents, and other parties throughout the claim lifecycle
Identify and escalate requests for additional information, coverage questions, and settlement discussions
Process claims according to company Best Practices and established procedures
Monitor and work toward completing assigned low-complexity claims inventory
Deliver customer service to insureds and agents through phone, email, and written correspondence
Update and maintain accurate claim files and documentation
Identify potential subrogation opportunities or fraud indicators and escalate them appropriately
Participate in claims training, audits, and quality reviews
Support oversight of TPAs and other vendors on basic matters under direction

Requirements

What you’ll need

High school diploma or equivalent required
Associate’s or Bachelor’s degree preferred
No prior claims handling experience required
Related experience in customer service, insurance, claims, or administrative roles is a plus
Must obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire and maintain a license going forward
Ability to communicate clearly and professionally by phone and in writing
Good organizational and time management skills
Solid writing skills
Basic analytical and investigative abilities
Developing negotiation skills
Proficient with Microsoft Office, including Teams, Word, and Excel
Willingness to learn and adapt to new computer systems, technologies, and claims software
Must meet state continuing education requirements for the adjuster’s license

Benefits

Comp & perks

Company support provided where applicable for obtaining the Property & Casualty Insurance Adjuster License
Claims training, audits, and quality reviews
Remote work arrangement