Claims Consultant - Cyber - E&O (Hybrid)

Intact Insurance Specialty Solutions • Anaheim, CA

7d • $123,000 - $167,000 • Hybrid

About The Position

This position is responsible for handling and resolving complex, highly specialized claims through investigation, evaluation and disposition. Independently operates within very broad company guidelines and very high authority levels in the settlement of claims. Makes appropriate recommendations to management on coverage and settlement of claims. Reviews and processes highly complex large loss claims or specialized claims that generally settle over $200,000 often involving litigation. Supports business partner through communication and education about specific claims.

Requirements

• Bachelor's or equivalent experience degree required
• 5+ years of progressively more complex, specialized claims handling experience.
• Desired Experience working on complex Cyber - E&O Claims

Nice To Haves

• JD may be required depending on the needs and requirements of a business unit.

Responsibilities

• Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
• Determines coverage, drafts coverage correspondence, 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 as required; 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 as needed with underwriting business partners regarding claims trends and 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.
• Will coach or train less experienced claim representatives.
• Develops and leads technical training and provides guidance to other departments within the organization, as needed.

Benefits

• Comprehensive medical, dental and vision insurance with no waiting period
• Competitive paid time off programs
• 401(k) savings and annual contributions of up to 12% of annual salary
• Mental health support programs, life and disability insurance, paid parental leave and a variety of additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior