Claims Specialist

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.  

Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners.

The Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.  

• →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 

• 3+ years of construction defect claims management experience preferred
• College degree or equivalent claims management experience required
• 5+ 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
• Proficient computer skills including Microsoft Outlook, Word and Excel