Complex Loss Specialist

Summary

Join Integrated Specialty Coverages (ISC) as a Complex Loss Specialist! Reporting to a Claims Supervisor or Manager, you will adjust complex, high-exposure insurance losses requiring advanced technical expertise and negotiation skills. You will analyze and present complex matters to senior executives, lead strategic discussions, and ensure optimal resolution strategies. This role demands a minimum of 10 years of construction liability claims experience, a college degree or equivalent, and a valid adjuster license. ISC offers a competitive salary, comprehensive benefits, and professional development opportunities.

Requirements

• Minimum of 10 years of construction liability claims experience, with an emphasis on complex claims
• College degree or equivalent claims management experience required
• Must hold adjuster license and be willing to secure additional licenses as needed
• Proficient computer skills including Microsoft Outlook, Word, and Excel

Responsibilities

• Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior, and effort to achieve goals and objectives
• Build and maintain productive relationships with internal and external customers, including clients, underwriting and service teams, and agents
• Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions
• Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager
• Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc
• Document activities in writing within claim files
• Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier
• Assign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and experts
• Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager
• Evaluate, set, or recommend reserves for each file they are handling
• Prepare written reports as dictated by company policy and procedures
• Handle claims within guidelines of the Fair Claims Practices 790.03
• Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling
• Discuss unique and complex files with Supervisor/Manager

Preferred Qualifications

Minimum of 10 years litigation management experience preferred

Benefits

• Medical, dental and vision insurance
• 401(k) plan with match
• Paid time off
• Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows
• Professional development opportunities
• Owner Referral Program
• Work from home reimbursement for remote/hybrid roles
• Burnalong digital health and wellness platform
• Canary emergency financial assistance program
• Comprehensive medical, dental, vision
• Life/AD&D Insurance
• Confidential, Employee Assistance Program
• Health Savings Account, includes company contribution
• Short-term disability
• Voluntary benefits - supplemental accident, critical illness, hospital insurance
• Employee discounts
• 401(k) Plan with company match contribution
• Various Time Off Programs
• 11 company paid holidays