Complex Loss Specialist – Allied Health

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ISC (Integrated Specialty Coverages, LLC)

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201 - 500 employees

🏢 Enterprise

Insurance • Technology • Enterprise

ISC (Integrated Specialty Coverages, LLC) is a dynamic company specializing in providing a wide range of insurance programs tailored to various industries. Their offerings include general liability, excess liability, and professional liability insurance for sectors such as construction, hospitality, marine, trucking, entertainment, and more. ISC is known for its innovative use of AI underwriting to enhance the speed and efficiency of insurance distribution, offering competitive rates and comprehensive coverage through a fully digital platform. The company has been recognized for its excellence and awarded for its achievements in the insurance sector.

📋 Description

• 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

🎯 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