Complex Loss Specialist (Allied Health)

The role

The Complex Loss Specialist adjusts time-intensive, complex, and high exposure Allied Health claims. This role involves investigating losses, analyzing coverage, and managing litigation for assigned programs.

What you will do

• Research applicable coverage for insureds.
• Identify and resolve potential coverage questions.
• Investigate facts of the loss by securing statements and supporting documentation.
• Document activities in writing within claim files.
• Exercise judgment in applying legal liability to assigned claims.
• Assign, monitor, and direct defense counsel, independent adjusters, and experts.
• Evaluate, set, or recommend reserves for each file.
• Prepare written reports as dictated by company policy and procedures.
• Provide insureds, claimants, underwriters, and carriers with regular updates.
• Handle claims within guidelines of the Fair Claims Practices 790.03.

Required qualifications

• Minimum of 10 years of claims experience, with an emphasis on complex Allied Health claims
• College degree or equivalent claims management experience
• Must hold an individual adjusting license for a designated home State
• Willing to secure additional required adjusting licenses as needed
• Active adjusters license under your name
• Proficient computer skills including Microsoft Outlook, Word, and Excel
• Ability to maintain consistent and clear communication

Nice to have

• Minimum of 10 years litigation management experience

Benefits

• Employee Ownership Program
• 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

Before you apply

• Must be legally authorized to work in the United States
• ISC participates in the Federal E-Verify program

About the company

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler. The company is combining insurance and technology to create an Insurtech powerhouse.