Associate Claims Examiner - MSI

The Baldwin Group

4d•Remote

About The Position

The Associate Claims Examiner is an entry-level role focused on processing and managing low-complexity insurance claims for policyholders. The position develops technical knowledge of basic claims handling principles while providing reliable customer service. It involves learning to perform claim tasks efficiently, following established procedures, contributing to team goals, and preparing for future growth in claims handling. The examiner handles basic First Party Property and/or Renters Claims under supervision and maintains accurate claim documentation.

Requirements

High school diploma or equivalent required.
Obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire and maintain the license thereafter.
Communicate clearly and professionally by phone and in writing, with a focus on customer service.
Good organizational and time-management skills.
Solid writing skills for documentation and correspondence.
Basic analytical and investigative abilities, with willingness to develop more advanced skills.
Willingness to develop negotiation skills through training and guidance.
Proficiency with Microsoft Office, including Teams, Word, and Excel.
Willingness to learn and adapt to new computer systems, technologies, and claims software.

Nice To Haves

Associate’s or Bachelor’s degree.
Related experience in customer service, insurance, claims, or administrative roles.

Responsibilities

Assist with investigating and analyzing 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 as needed.
Assist with setting initial reserves in accordance with company philosophy, subject to senior staff review and approval.
Help engage experts or vendors when directed, and support vendor performance monitoring and expense control.
Learn to evaluate, negotiate, and recommend settlement values for simple claims under supervision.
Communicate with policyholders, agents, and other parties as directed, providing clear and professional updates throughout the claim lifecycle.
Identify and escalate requests for additional information, coverage questions, or settlement discussions to senior examiners.
Process claims in accordance with company best practices and established procedures.
Work toward completing assigned low-complexity claims inventory with guidance.
Acquire and maintain a state adjuster’s license, or obtain it within the first 90 days of hire, and meet state continuing education requirements.
Provide customer service to insureds and agents by phone, email, and written correspondence.
Update and maintain accurate claim files and documentation.
Assist in identifying potential subrogation opportunities or fraud indicators and escalate them to appropriate teams or senior staff.
Participate in claims training, audits, and quality reviews as assigned.
Support oversight of TPAs or other vendors on basic matters under direction.