Claims Specialist

The-Baldwin-Group; Birmingham (AL); On-site; USD 50,000 - 70,000; Full time

Job summary

The Baldwin Group seeks a Claims Specialist in Birmingham, AL to review FNOL, determine submission paths, and support underwriting submissions. You will assist in client communications under supervision and ensure compliant handling of sensitive information.

You will provide top-tier client service, maintain meticulous claim records, and stay informed on industry trends to improve processes and efficiency.

Qualifications

• At least two years of experience in a client/customer facing or support role is preferred.
• Proficient in MS Office Word and Excel with ability to learn new system programs.

Responsibilities

• Review FNOL and determine proper submission path for adjudication.
• Collaborate with Claims Consultant to develop underwriting review submissions.
• Assist in preparing internal and external claim-related correspondence under supervision.
• Ensure compliance with industry standards and confidentiality in handling claims.
• Provide excellent client servicing and timely updates on claim status.
• Maintain accurate claim records and documentation.

Skills

Claims processing

Independent work

Client communication

Time management

Tools

MS Office

Excel

Job description

The Claims Specialist will review, analyze, and decide the proper submission path for all First Notice of Losses (FNOL) sent to our firm for prompt adjudication. Additionally, they will assist in the development and creation of underwriting review submissions along with internal and external client/customer claim related correspondence under the guidance and supervision of a Claims Consultant. In addition, the candidate will have best in class client servicing and communication skills enabling them to work with minimal supervision in a dynamic environment.

PRIMARY RESPONSIBILITIES

• Review and analyze First Notice of Losses (FNOL) received by assessing the nature of the claim and determining the proper submission path for prompt adjudication.
• Collaborate with a Claims Consultant to develop and create underwriting review submissions, ensuring accurate and comprehensive documentation.
• Under the guidance of a Claims Consultant, assist in preparing internal and external claim-related correspondence, maintaining clear and effective communication with clients and customers throughout the claims process.
• Ensure compliance with industry standards, company procedures, and regulatory requirements while handling claims and maintaining confidentiality of sensitive information.
• Provide exceptional client servicing, addressing inquiries, concerns, and providing timely updates to clients and customers regarding claim status and resolution.
• Maintain accurate and detailed claim records, documentation, and electronic files in compliance with established procedures.
• 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 of the first notice of loss.
• Ability to work independently and prioritize assignments, seeking guidance where needed.
• Supply the highest quality support to customers through effective communication, diligence, organization, and diligent follow-up.
• Effective communication skills, both oral and written, with the ability to be professional under pressure and display patience above reproach.

EDUCATION & EXPERIENCE

• At least two years of experience desired within a client/customer facing or support role is preferred.
• Proficient in MS Office Word and Excel with the ability to learn new system programs and technologies.

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.

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. The Baldwin Group is a cohesive group of experts in business insurance, employee benefits, retirement planning, and all areas of private and personal insurance. Since 2011, we’ve evolved from a local business into a national firm with a vast network of specializations serving two million clients across the country. At The Baldwin Group, we provide solutions so our clients can pursue what’s possible for themselves, their families, and their businesses. Whether renting a first apartment, opening a small business or taking a company public, we offer solutions to support clients at every step of their journey giving them peace of mind to pursue their purpose, passion, and dreams. We Protect the Possible. The Baldwin Group is an equal employment opportunity firm and strives to comply with all laws prohibiting discrimination based on race, color, religion, age, sex (including sexual orientation and gender identity), national origin or ancestry, disability, military status, marital status, and any other category protected by federal, state, or local laws. All such discrimination is unlawful, and all persons involved in the operations of the firm are prohibited from engaging in this conduct.