Complex Loss Specialist – Allied Health

🕒 vor 26 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $87.000 - $109.000 / Jahr

⏰ Vollzeit

🟠 Senior

🔴 Experte

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of ISC (Integrated Specialty Coverages, LLC)

ISC (Integrated Specialty Coverages, LLC)

201 - 500 Mitarbeiter

🏗️ Bauwesen

🏨 Gastgewerbe

📦 Logistik

Construction • Hospitality • Logistics

ISC (Integrated Specialty Coverages, LLC) ist ein dynamisches Unternehmen, das sich auf die Bereitstellung einer Vielzahl von Versicherungsprogrammen spezialisiert hat, die auf verschiedene Branchen zugeschnitten sind. Zu ihren Angeboten gehören Versicherungen für allgemeine Haftung, Exzess-Haftung und Berufshaftpflicht für Sektoren wie Bauwesen, Gastgewerbe, Marine, Transport, Unterhaltung und mehr. ISC ist bekannt für seine innovative Nutzung der KI-gestützten Zeichnung, um die Geschwindigkeit und Effizienz der Versicherungsverteilung zu verbessern und wettbewerbsfähige Tarife und umfassenden Versicherungsschutz über eine vollständig digitale Plattform anzubieten. Das Unternehmen wurde für seine Exzellenz anerkannt und erhielt Auszeichnungen für seine Erfolge im Versicherungssektor.

Beschreibung

• Adjust the most time-intensive, complex, and high exposure Allied Health losses requiring advanced technical expertise, knowledge, and negotiating ability • Provide analysis and presentations to Senior Executives and Program Executives • Lead strategic roundtable discussions to determine optimal resolution strategy • Build and maintain relationships with clients, underwriting and service teams, and agents • Research applicable coverage and document coverage dates, limits, and restrictions • Identify coverage questions and draft reservation of rights and coverage denials for review • Investigate losses by securing statements and supporting documentation • Document claim activities and maintain accurate claim files • Apply legal liability and exercise settlement authority • Assign, monitor, and direct defense counsel, independent adjusters, and experts • Identify claims exceeding authority and advise the Supervisor/Manager • Evaluate, set, or recommend reserves • Prepare written reports and roundtable summaries • Handle claims within Fair Claims Practices 790.03 guidelines • Provide regular file-status updates to insureds, claimants, underwriters, and carriers • Conduct healthcare liability claims investigation and evaluation, including medical malpractice, general liability, and professional liability exposures • Analyze allied health professional liability policy coverage • Review and interpret medical records across allied health disciplines • Manage litigation, including defense counsel, independent medical examiners, and expert witnesses • Gather and organize incident reports, medical records, licensing records, contracts, and expert reports

🎯 Anforderungen

• 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 • Must be legally authorized to work in the United States.

🏖️ Vorteile

• 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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