Claims Specialist

Integrated Specialty Coverages, LLC

3h•Hybrid

About The Position

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, ISC combines insurance and technology to create an Insurtech powerhouse, aiming to be a leading online distributor of insurance products. The company is building a digitally focused team that understands user experience, data, and AI/ML to optimize customer and partner engagement. Golden State Claims Adjusters, part of ISC, is seeking Claims Specialists with a solid track record in handling non-complex to complex liability and construction defect claims. The role emphasizes a collaborative and inquisitive mindset. The Claims Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager, or Senior Claims Manager, with the primary duty of adjusting complex or high exposure construction defect claims for assigned programs.

Requirements

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

Nice To Haves

3+ years of construction defect claims management experience
5+ years litigation management experience

Responsibilities

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

Benefits

Comprehensive medical, dental and vision insurance
401(k) plan with match
Paid time off
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
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
Addition Wealth Financial Wellness Program
Various Time Off Programs
11 company paid holidays