Associate Claims Consultant

Baldwin Group Colleague•Leesburg, VA

About The Position

The Associate Claims Consultant is a junior-level claims consultant who builds relationships with clients to support retention, develops and executes stewardship plans for claim services, and generally handles less complex accounts with oversight from management and senior claims consultants. The role reviews and routes claims for adjudication, supports colleagues, monitors claim data, communicates with clients, and contributes to compliant and efficient claims handling.

Requirements

  • At least 3 years of experience in claims and knowledge of insurance coverage.
  • Must have a Property & Casualty Insurance License or be willing to obtain any state-required license within a specified time frame after starting employment.
  • Ability to drive a claim from initial intake through satisfactory submission with minimal supervision.
  • Proficiency with Microsoft Office, including Word and Excel; intermediate proficiency in Word, Excel, PowerPoint, and Outlook.
  • Ability to learn new systems, programs, and technologies used by the firm.
  • Ability to work independently and prioritize assignments.
  • Effective oral and written communication skills, including professionalism under pressure and patience.
  • Demonstrate behavior aligned with the organization's core values and culture.

Responsibilities

  • Review and analyze incoming claims and determine the appropriate submission path to support prompt and accurate adjudication.
  • Provide professional assistance and support to Claims Specialists and Analyst colleagues as directed, collaborating on claims processing and resolution.
  • Review daily data for potential trends or challenges that may require managerial or underwriting review, and report findings.
  • Deliver outstanding client service, foster positive relationships, and communicate effectively with clients and customers throughout the claims process.
  • Handle claims in compliance with industry standards, company procedures, and regulatory requirements while maintaining confidentiality of sensitive information.
  • Stay current on industry trends, emerging regulations, and claims-management best practices, and continuously enhance knowledge and expertise.
  • Contribute to process-improvement initiatives to streamline claim handling, increase efficiency, and improve customer satisfaction.
  • Perform other related duties as assigned by the Claims Consultant or management.
  • Build client relationships to support retention, and develop and execute stewardship plans regarding claim services.
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