Associate Claims Consultant

Baldwin Group Colleague; Leesburg (VA); On-site; USD 59,000 - 72,000; Full time

Job summary

Baldwin Group Colleague in Leesburg, VA seeks a Claims Professional to drive adduction from intake to submission, ensuring prompt adjudication. You will support Claims Specialists, analyze daily data for trends, and maintain high client service standards while complying with industry regulations.

Requirements include 3+ years of claims experience and a Property & Casualty license or willingness to obtain one. Starting salary is $65,000, negotiable upon offer.

Qualifications

• 3+ years of experience in claims and insurance coverage knowledge.
• Must have a Property & Casualty Insurance License or be willing to obtain within a specified time frame.

Responsibilities

• Review, analyze, and determine submission path for claims to ensure prompt adjudication.
• Provide professional assistance to Claims Specialists and Analysts to ensure efficient processing.
• Identify trends in daily data and report findings for managerial or underwriting review.
• Maintain outstanding client service and communication throughout the claims process.
• Ensure compliance with industry standards, procedures, and regulatory requirements while handling claims.
• Stay updated on industry trends and best practices in claims management.
• Contribute to process improvements to streamline claim handling and increase customer satisfaction.
• Handle other related duties and responsibilities as assigned.

Skills

Claims processing

MS Word & Excel

Independent worker

Professional communication

Time management

Education

Property & Casualty Insurance License

3+ years claims experience

Tools

MS Office Suite

Job description

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.

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.

Starting Salary $65,000, negotiable upon offer.