Senior Claim Representative - Accident and Health (Hybrid)

Intact Specialty Solutions•Plymouth, MN

2d•Hybrid

About The Position

Intact Insurance Specialty Solutions is seeking a Senior Claim Representative to join its Accident and Health team. The role handles and resolves complex, higher-exposure specialty claims and is based in one of the listed offices on a hybrid schedule. The position supports the U.S. team and involves investigating claims, assessing coverage, liability and damages, managing reserves, coordinating resources, and negotiating settlements.

Requirements

Bachelor’s degree or equivalent experience.
2–6 years of progressively complex specialty claims experience.
Bodily injury claim resolution experience.

Nice To Haves

Uninsured motorist (UM) and underinsured motorist (UIM) experience.
Personal injury protection (PIP) or medical payments (MedPay) experience.

Responsibilities

Make timely and appropriate contacts and conduct an appropriate level of investigation to determine coverage, assess liability, and determine damages.
Take recorded statements from parties involved when appropriate for the type of claim.
Determine exposure, establish adequate reserves, and adjust reserves as needed in a timely manner.
Assign and direct internal and external resources, including independent adjusters and appraisers.
Determine whether additional evidence is required, such as accident reports, scene reconstructions, witness statements, police reports, or expert opinions.
Identify questionable claims and consult with SIU as appropriate.
Determine loss settlement value and negotiate appropriate settlements within authority.
Provide recommendations for settlement and disposition of claims that exceed authority.
Stay current on state licensing requirements and participate in continuing education as required.