Job Details

The Associate Claims Consultant is responsible for building relationships with clients, having the goal of client retention. They will develop stewardship plans regarding claim services and execute them. This role is a junior-level claims consultant and generally has less complex accounts and oversight from management and senior claims consultants.

PRIMARY RESPONSIBILITIES:
Review, analyze, and determine the appropriate submission path for claims received by the company, ensuring prompt and accurate claims adjudication.
Provide professional assistance and support to Claims Specialists and Analyst colleagues as directed, collaborating to ensure efficient claims processing and resolution.
Review daily data to identify potential trends or challenges that may require managerial or underwriting review, and report findings accordingly.
Maintain a strong focus on delivering outstanding client service, fostering positive relationships, and effectively communicating with clients and customers throughout the claims process.
Ensure compliance with industry standards, company procedures, and regulatory requirements while handling claims, maintaining confidentiality of sensitive information.
Stay updated on industry trends, emerging regulations, and best practices in claims management, continuously enhancing knowledge and expertise.
Contribute to process improvement initiatives, suggesting enhancements to streamline claim handling, increase efficiency, and enhance customer satisfaction.
Handle other related duties and responsibilities as assigned by the Claims Consultant or management.

KNOWLEDGE, SKILLS & ABILITIES:
Ability to drive a claim from first intake through the process to satisfactory submission with minimal supervision.
Proficient in MS Office Word and Excel with the ability to learn new system programs and technologies.
Ability to work independently and prioritize assignments.
Effective communication skills, both oral and written, with the ability to be professional under pressure and display patience above reproach.
Intermediate proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Ability to learn any other appropriate program or software system used by the firm as necessary
Demonstrates the organization's core values, exuding behavior that is aligned with the firm's culture

EDUCATION & EXPERIENCE:
3+ year's experience in claims and insurance coverage knowledge
Must have Property & Casualty Insurance License or be willing to obtain any state required license within a specified time frame of starting employment with the firm.

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IMPORTANT NOTICE:
This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodation to applicants and colleagues who need them for medical or religious reasons.

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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.