Complex Loss Specialist – Allied Health

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $87 000 - $109 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👻 Score fantôme 1%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of ISC (Integrated Specialty Coverages, LLC)

ISC (Integrated Specialty Coverages, LLC)

201 - 500 employés

🏗️ Construction

🏨 Hôtellerie

📦 Logistique

Construction • Hospitality • Logistics

ISC (Integrated Specialty Coverages, LLC) est une entreprise dynamique spécialisée dans l'offre d'une large gamme de programmes d'assurance adaptés à divers secteurs. Leurs offres incluent l'assurance responsabilité civile générale, la responsabilité civile excédentaire et l'assurance responsabilité professionnelle pour des secteurs tels que la construction, l'hôtellerie, le maritime, le transport routier, le divertissement, et bien d'autres. ISC est reconnue pour son utilisation innovante de la souscription par l'IA afin d'améliorer la rapidité et l'efficacité de la distribution d'assurance, offrant des tarifs compétitifs et une couverture complète via une plateforme entièrement numérique. L'entreprise est saluée pour son excellence et récompensée pour ses réalisations dans le secteur de l'assurance.

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

🎯 Exigences

• 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.

🏖️ Avantages

• 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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