Senior Claims Specialist
Qualifications
Experience Level: Senior Level
- College degree or equivalent claims management experience required
- Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed
- Proficient computer skills including Microsoft Outlook, Word and Excel
Full Job Description
Integrated Specialty Coverages, LLC (ISC), a dynamic, growth-stage commercial MGA and insurance wholesaler, is seeking a Senior Claims Specialist. We leverage technology and data to drive innovation in the insurance market. This role is critical in managing complex or high-exposure construction defect claims, ensuring strict adherence to company policies and legal standards. Join a collaborative team focused on achieving ambitious goals and fostering strong relationships with clients, underwriters, service teams, and agents.
Key Responsibilities:
- Investigate and adjust complex construction defect claims, identifying and resolving coverage issues.
- Draft reservation of rights and coverage denial letters for review.
- Conduct thorough investigations by securing statements and essential documentation (contracts, cost estimates, expert reports, photos, correspondence).
- Meticulously document all claim activities within the claim files.
- Exercise sound judgment in applying legal liability and manage settlements within authorized limits.
- Assign and direct defense counsel, independent adjusters, and experts.
- Proactively identify and report claims exceeding assigned authority to supervisors.
- Evaluate, establish, or recommend claim reserves.
- Prepare comprehensive written reports according to company policy.
- Ensure claims handling complies with Fair Claims Practices (790.03).
- Provide timely status updates to insureds, claimants, underwriters, and carriers.
- Discuss unique and complex claim scenarios with supervisors.
Qualifications:
- Bachelor's degree or equivalent claims management experience.
- Active individual adjusting license for a designated home state; willingness to obtain additional licenses as required.
- Proficiency in Microsoft Outlook, Word, and Excel.
- 5+ years of construction defect claims management experience is preferred.
- 10+ years of litigation management experience is preferred.
Company
Integrated Specialty Coverages, LLC
Integrated Specialty Coverages (ISC) is a leading program administrator in the United States, committed to delivering underwriting excellence, exceptional client service, and a superior customer exper...