Complex Loss Specialist

Summary

Join Integrated Specialty Coverages (ISC) as a Complex Loss Specialist and contribute to a collaborative team focused on resolving complex and high-exposure insurance losses. You will leverage your extensive experience in construction liability claims and litigation management to analyze, investigate, and resolve these intricate matters. This role demands strong analytical, communication, and negotiation skills, as you will interact with internal and external stakeholders, including senior executives and program executives. You will be responsible for managing all aspects of claim handling, from coverage analysis to settlement negotiations, while adhering to company policies and legal guidelines. The position offers a competitive salary and a comprehensive benefits package, including medical, dental, vision, 401k, and paid time off.

Requirements

• Bachelors degree or equivalent claims management experience required
• Minimum of 10 years of construction liability claims experience, with an emphasis on complex claims
• Must hold and active claims adjuster license and be willing to secure additional licenses as needed
• Proficient computer skills including Microsoft Outlook, Word, and Excel
• Experience with thorough file documentation
• Strong verbal and written communication skills including high attention to detail
• Ability to operate with urgency on time sensitive needs for claims management, files and communication

Responsibilities

• Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior, and effort to achieve goals and objectives
• Building and maintaining 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