Senior Claims Specialist

Summary

Join Integrated Specialty Coverages (ISC) as a Senior Claim Specialist and contribute to a collaborative team adjusting complex construction defect claims. Reporting to a Claims Supervisor/Manager, you will be responsible for investigating losses, securing documentation, applying legal liability, and managing claim settlements within your authority. This role requires 5+ years of construction defect claims management experience and a college degree or equivalent experience. ISC offers a competitive salary, comprehensive benefits including medical, dental, vision, 401k, paid time off, and additional perks like professional development opportunities and a wellness platform.

Requirements

• 5+ years of construction defect claims management experience
• College degree or equivalent claims management experience
• Must be licensed as a Qualified Claims Manager in the State of California and any other status 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

10+ years litigation management experience

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