Complex Loss Specialist – Allied Health

🕒 Julho 10

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $87.000 - $109.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of ISC (Integrated Specialty Coverages, LLC)

ISC (Integrated Specialty Coverages, LLC)

201 - 500 funcionários

🏗️ Construção

🏨 Hospitalidade

📦 Logística

Construction • Hospitality • Logistics

A ISC (Integrated Specialty Coverages, LLC) é uma empresa dinâmica especializada em fornecer uma ampla gama de programas de seguro adaptados para diversas indústrias. Suas ofertas incluem seguro de responsabilidade civil geral, responsabilidade civil excedente e seguro de responsabilidade profissional para setores como construção, hospitalidade, marítimo, transporte rodoviário, entretenimento e mais. A ISC é conhecida por seu uso inovador de subscrição por IA para aumentar a velocidade e a eficiência da distribuição de seguros, oferecendo taxas competitivas e cobertura abrangente por meio de uma plataforma totalmente digital. A empresa foi reconhecida por sua excelência e premiada por suas conquistas no setor de seguros.

Descrição

• 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

🎯 Requisitos

• 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.

🏖️ Benefícios

• 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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