Associate Claims Consultant

The Baldwin Group•Kingston, MA

About The Position

The Associate Claims Consultant is a junior-level claims consultant responsible for building client relationships and supporting client retention. The role develops and executes stewardship plans for claim services and generally supports less complex accounts, with oversight from management and senior claims consultants. The position reviews and analyzes claims to determine the appropriate submission path, supports colleagues in claims processing and resolution, monitors data for trends or issues, and maintains professional communication with clients and customers. It also requires compliance with industry standards, company procedures, and regulatory requirements; ongoing awareness of industry developments; and participation in process improvement. Other related duties may be assigned by the Claims Consultant or management.

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 in Microsoft Office Word and Excel and ability to learn new systems and technologies.
  • Intermediate proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
  • Ability to work independently and prioritize assignments.
  • Effective oral and written communication skills, professionalism under pressure, and patience.
  • Ability to learn other appropriate programs or software systems used by the firm.
  • Demonstrate the organization’s core values and behavior aligned with the firm’s culture.

Responsibilities

  • Review and analyze claims and determine the appropriate submission path to support prompt and accurate claims adjudication.
  • Provide professional assistance and support to Claims Specialists and Analyst colleagues as directed.
  • 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 protecting confidential information.
  • Stay informed about industry trends, emerging regulations, and best practices in claims management.
  • 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 for claim services.
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