Senior Claim Representative - Accident and Health (Hybrid)
About The Position
Intact Insurance Specialty Solutions is hiring a Senior Claim Representative for its U.S. Accident and Health team. The position is based in the Denver, Colorado; Plymouth, Minnesota; Chicago, Illinois; or Alpharetta, Georgia office and follows a hybrid schedule. The role handles and resolves complex, higher-exposure specialty claims. The representative investigates claims and determines coverage, liability, damages, and exposure; establishes and adjusts reserves; coordinates internal and external resources; evaluates settlement values; and negotiates settlements within their authority. The role also identifies questionable claims for possible SIU consultation and stays current on state licensing requirements and continuing education.
Requirements
- Bachelor’s degree or equivalent experience.
- A minimum of 2–6 years of progressively complex specialty claims experience.
- Bodily injury claim resolution experience.
Nice To Haves
- Uninsured/underinsured motorist (UM/UIM) experience.
- Personal injury protection (PIP) or 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 involved parties when appropriate for the claim.
- Determine exposure, establish adequate reserves, and make timely reserve adjustments as required.
- Assign and direct internal and external resources, including independent adjusters and appraisers.
- Determine whether additional evidence is needed, such as accident reports, scene reconstructions, witness statements, police reports, or expert opinions.
- Identify questionable claims and consult with SIU for further direction as appropriate.
- Determine the settlement value of losses and negotiate appropriate settlements within authority.
- Recommend settlement and disposition of claims that exceed the representative’s authority.
- Stay current on state licensing requirements and participate in continuing education as required.
Benefits
- Comprehensive medical, dental, and vision insurance with no waiting period.
- Competitive paid time off programs.
- 401(k) savings plan and annual contributions of up to 12% of annual salary.
- Mental health support programs.
- Life and disability insurance.
- Paid parental leave.
- Additional voluntary benefits.
- Bonus potential for full-time employees.
- Flexible work arrangement options.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
