Senior Claim Representative - Accident and Health (Hybrid)
About The Position
Intact Insurance Specialty Solutions is seeking a Senior Claim Representative for its Accident and Health team. The role handles and resolves complex, higher-exposure specialty claims and is based at one of the listed offices—Canton, Massachusetts; Denver, Colorado; Plymouth, Minnesota; Alpharetta, Georgia; Boston, Massachusetts; or Chicago, Illinois—with a hybrid schedule. The position is part of the U.S. team within Intact’s Global Specialty Lines business. The representative investigates claims, determines coverage, liability, damages and exposure, sets reserves, coordinates internal and external resources, and negotiates settlements within their authority. The role also requires keeping current with state licensing requirements and completing continuing education as required.
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/underinsured motorist (UM/UIM) experience.
- Personal Injury Protection (PIP) or MedPay experience.
Responsibilities
- Make timely and appropriate contacts and conduct the appropriate level of investigation to determine coverage, assess liability and determine damages.
- Take recorded statements from involved parties when appropriate for the claim type.
- Determine claim 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 the Special Investigations Unit (SIU) as appropriate.
- Determine the settlement value of losses and negotiate appropriate settlements within authority.
- Provide settlement and disposition recommendations for claims that exceed the representative’s authority.
- Stay current with state license 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 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 arrangements and time-off options.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
