ISC (Integrated Specialty Coverages, LLC) logo
ISC (Integrated Specialty Coverages, LLC)

Comprehensive Insurance Solutions for an Evolving Market

Complex Loss Specialist – Allied Health

GeneralGeneralFull TimeRemoteLeadTeam 201-500H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 days ago

Salary

$87K - $109K / year

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

Complex Loss Specialist – Allied Health

ISC (Integrated Specialty Coverages, LLC)

• 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

Job Requirements

  • Minimum of 10 years of claims experience, with an emphasis on complex Allied Health claims
  • College degree or equivalent claims management experience required.
  • Minimum of 10 years litigation management experience preferred.
  • Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed
  • Active adjusters license under your name required
  • Proficient computer skills including Microsoft Outlook, Word, and Excel.
  • Ability to maintain consistent and clear communication with leadership, the team and all other external points of contact.

Benefits

  • 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
  • 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
  • Addition Wealth Financial Wellness Program
  • Various Time Off Programs
  • 11 company paid holidays

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