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Claim Examiner I
The Baldwin Group. Investigate and analyze claim information to determine the extent of liability .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance claims handling, including First Party Property Claims, while providing exceptional customer service and effective communication with clients and stakeholders. Proficient in analytical and negotiation skills to evaluate claims and determine settlement values.
Highest-signal resume keywords
Insurance Claims HandlingProperty & Casualty Insurance LicenseAnalytical SkillsNegotiation SkillsCustomer Service
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 EvaluationSettlement NegotiationFraud DetectionClaims AuditingTime Management
Soft Skills
Effective CommunicationRelationship BuildingOrganizational SkillsWriting Skills
Tools & Technologies
Microsoft OfficeMicrosoft TeamsExcelWord
Certifications & Qualifications
Property & Casualty Insurance LicenseState Adjuster’s License
Industry Keywords
First Party Property ClaimsSubrogationBest PracticesVendor Performance MonitoringClaims Inventory Management
About the role
Key responsibilities & impact- Investigate and analyze claim information to determine the extent of liability
- Handle First Party Property Claims
- Assist in suits, mediations, and arbitrations and work with Counsel in the defense of litigation
- Set timely, adequate reserves in compliance with company reserving philosophy
- Engage experts to assist in claim evaluation
- Monitor vendor performance and control expenses
- Evaluate, negotiate, and determine settlement values
- Communicate with all interested parties throughout the life of the claim
- Discuss coverage decisions, additional information needs, and settlement amounts with interested parties
- Handle claims in accordance with Best Practices
- Monitor and complete assigned claims inventory
- Provide best-in-class customer service for insureds and agents
- Update and maintain claim files
- Identify subrogation opportunities and protect recovery interests
- Identify fraud indicators and refer files to SIU
- Participate in internal and external claims audits
- Provide oversight of TPAs
Requirements
What you’ll need- Technical knowledge of insurance claims handling
- Ability to build relationships and communicate effectively with diverse clients, carriers, and colleagues
- Ability to communicate clearly and professionally and provide superior customer service by phone and 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 other computer systems and technologies
- Property & Casualty Insurance License required, or willingness to obtain it within the first 90 days of hire and maintain it
- Ability to acquire and maintain a state adjuster’s license and meet state continuing education requirements
- Claims handling experience preferred; renters’ claims handling experience is a plus
- Associate’s or Bachelor’s degree preferred
Benefits
Comp & perks- Nationwide portfolio of insurance products and specialized insurance solutions
- Best-in-class customer service environment
- Growing in-house renters claims handling team