Claims Consultant - Cyber - E&O (Hybrid)

Intact Specialty Solutions•New York, NY

6d•Hybrid

About The Position

At Intact Insurance Specialty Solutions, we are experts in protecting what makes businesses unique. Our deep understanding of the specialty insurance market forms the foundation for our customized solutions, supported by targeted risk control and claims services. Our employees are passionate about providing insurance coverage aligned with our targeted customer groups. Intact’s Global Specialty Lines business operates across more than 20 verticals in four distinct markets: U.S., Canada, UK, and Europe. This opportunity is for our U.S. team. We are seeking a Claim Consultant to join our Cyber - E&O team. This position is responsible for handling and resolving complex, highly specialized claims through investigation, evaluation, and disposition. The role operates independently within broad company guidelines and with high authority levels for claim settlement. The consultant will make appropriate recommendations to management regarding coverage and claim settlement, and review and process highly complex large loss claims or specialized claims that generally settle over $200,000, often involving litigation. The role also supports business partners through communication and education about specific claims.

Requirements

Bachelor's or equivalent experience degree required.
JD may be required depending on the needs and requirements of a business unit.
5+ years of progressively more complex, specialized claims handling experience.
Desired Experience working on complex Cyber - E&O Claims.

Responsibilities

Makes timely and appropriate contacts and completes the appropriate level of investigation to determine coverage, liability, and damages for very complex and specialized claims.
Determines coverage, drafts coverage correspondence, and responds to coverage questions raised by insureds and others.
Determines exposure, establishes adequate reserves, and makes timely adjustments as required.
Selects, assigns, and directs activities of internal and external resources, including independent adjusters, appraisers, and attorneys.
Identifies questionable claims and consults with SIU for further direction as appropriate.
Determines settlement value of the loss and negotiates proper settlement of claims within authority.
Provides recommendations for settlement and disposition of claims exceeding authority level.
Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate.
Communicates with underwriting business partners regarding claims trends and the legal climate.
Provides expertise and insight as requested relative to needed coverage changes or enhancements.
Maintains a strong professional knowledge of regulatory and legal environments and applies this information effectively.
Stays abreast of state license requirements and participates in continuing education as required.
Coaches or trains less experienced claim representatives.
Develops and leads technical training and provides guidance to other departments within the organization, as needed.