Complex Loss Specialist

Posted Yesterday
Be an Early Applicant
Hiring Remotely in USA
Remote
100K-120K Annually
Expert/Leader
Insurance
The Role
The Complex Loss Specialist adjusts complex and high-exposure claims requiring technical expertise and negotiation skills. Responsibilities include relationship management, coverage analysis, claims investigation, liability judgment, settlement authority, monitoring defense counsel, and providing updates to stakeholders.
Summary Generated by Built In

About Integrated Specialty Coverages

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial insurance wholesaler leading innovation in the market.  

Backed by one of the leading private equity firms, KKR, 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 Summary

The Complex Loss Specialist position at Golden State Claims Services reports to a Claims Supervisor or Claims Manager. The chief duty of the Complex Loss Specialist is to adjust the most time-intensive, complex, and high exposure losses that require a higher level of technical expertise, knowledge, and negotiating ability, for the program(s) to which she/he is assigned. The Complex Loss Specialist will have a high level of ability to provide analysis and presentations to Senior Executives and Program Executives for these complex matters and will be well-versed in leading strategic roundtable discussions to determine optimal resolution strategy.

Position 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

Minimum Qualifications

  • Minimum of 10 years of construction liability claims experience, with an emphasis on complex claims
  • College degree or equivalent claims management experience required.
  • Minimum of 10 years litigation management experience preferred.
  • Must hold adjuster license and be willing to secure additional licenses as needed
  • Proficient computer skills including Microsoft Outlook, Word, and Excel.



The 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

$100,000$120,000 USD

Benefits of Working at ISC

  • 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

Applicants 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 without employer sponsorship.**

**ISC participates in the Federal E-Verify program**

The Company
HQ: Carlsbad, California
124 Employees
On-site Workplace
Year Founded: 2016

What We Do

Integrated Specialty Coverages (ISC) is a World-Class Program Administrator dedicated to underwriting excellence, client service, and customer experience.

As an innovative industry leader, ISC has built an end-to-end insurance platform by connecting a broad network of insurance markets and distribution channels. ISC uses sophisticated systems and analytics to revolutionize how complete programs are underwritten and operated.

With their most recent strategic partnerships, ISC has expanded their programs from commercial property and hospitality including bars, taverns and nightlife to now offer long-haul trucking and a wide variety of contractor's coverages including, general liability and workers' compensation.

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