Senior Claims Specialist

About Integrated Specialty CoveragesIntegrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market. Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners.Job SummaryThe Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Senior Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned. Position ResponsibilitiesContribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectivesBuilding and maintaining productive relationships with internal and external customers, including clients, underwriting and service teams, and agentsResearch applicable coverage for our insureds. Document coverage dates, limits, and restrictionsIdentify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/ManagerInvestigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etcDocument activities in writing within claim filesExercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrierAssign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and expertsIdentify claims with potential exposure in excess of authority and advise their Supervisor/ManagerEvaluate, set, or recommend reserves for each file they are handlingPrepare written reports as dictated by company policy and proceduresHandle claims within guidelines of the Fair Claims Practices 790.03Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handlingDiscuss unique and complex files with Supervisor/ManagerMinimum Qualifications5+ years of construction defect claims management experience preferredCollege degree or equivalent claims management experience required10+ years litigation management experience preferredMust hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as neededProficient computer skills including Microsoft Outlook, Word and ExcelThe starting annual pay scale for this position is listed below. Actual starting pay will be based on factors such as skills, qualifications, training, and experience. In addition, the company offers comprehensive benefits including medical, dental and vision insurance, 401(k) plan with match, paid time off, and other benefits.ISC's salary ranges are determined by role and level. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations and could be higher or lower based on a multitude of factors, including job-related skills, experience, and relevant education or training.National Pay Range$83,000—$104,000 USDBenefits of Working at ISCEmployee Ownership Program - every eligible employee shares in the financial rewards that grow when the company growsProfessional development opportunitiesOwner Referral ProgramWork from home reimbursement for remote/hybrid rolesCanary emergency financial assistance programComprehensive medical, dental, visionLife/AD&D InsuranceConfidential, Employee Assistance ProgramHealth Savings Account, includes company contributionShort-term disabilityVoluntary benefits - supplemental accident, critical illness, hospital insuranceEmployee discounts401(k) Plan with company match contributionAddition Wealth Financial Wellness ProgramVarious Time Off Programs11 company paid holidaysApplicants may contact the ISC HR department via e-mail or phone to request and arrange for an accommodation that will allow the applicant to successfully complete the application process. Applicants needing assistance may request accommodation at any time. Please contact ISC at [email protected] or 760-599-7242.ISC believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, we focus on attracting, developing, and retaining the best talent for our business, challenging our people, demonstrating a “can-do” attitude, and fostering a collaborative and mutually supportive environment. Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law.**Must be legally authorized to work in the United States.****ISC participates in the Federal E-Verify program**Originally posted on Himalayas