Senior Claims Specialist
$83k - $104kIntegrated Specialty Coverages, LLC
About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.
Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and "Main Street USA", we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we're building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary The Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Senior Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.
Position Responsibilities
Applicants may contact the ISC HR department via e-mail or phone to request and arrange for an accommodation that will allow the applicant to successfully complete the application process. Applicants needing assistance may request accommodation at any time. Please contact ISC at View email address on click.appcast.io or View phone number on click.appcast.io. ISC believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, we focus on attracting, developing, and retaining the best talent for our business, challenging our people, demonstrating a "can-do" attitude, and fostering a collaborative and mutually supportive environment.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law. **Must be legally authorized to work in the United States.** **ISC participates in the Federal E-Verify program**
Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and "Main Street USA", we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we're building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary The Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Senior Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.
Position 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
- 5+ years of construction defect claims management experience preferred
- College degree or equivalent claims management experience required
- 10+ 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
- 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
- Comprehensive medical, dental, vision
- 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
- 401(k) Plan with company match contribution
- Addition Wealth Financial Wellness Program
- Various Time Off Programs
- 11 company paid holidays
Applicants may contact the ISC HR department via e-mail or phone to request and arrange for an accommodation that will allow the applicant to successfully complete the application process. Applicants needing assistance may request accommodation at any time. Please contact ISC at View email address on click.appcast.io or View phone number on click.appcast.io. ISC believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, we focus on attracting, developing, and retaining the best talent for our business, challenging our people, demonstrating a "can-do" attitude, and fostering a collaborative and mutually supportive environment.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law. **Must be legally authorized to work in the United States.** **ISC participates in the Federal E-Verify program**
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Claims Specialist in United States vacancy
$83k - $157k
Schedule: Full-Time Salary Range: USD $83000.00 - $157000.00 Job Category: Claims Description Looking for an amazing new claims opportunity? Senior Complex Construction Claims Specialist - Complex CGL & Construction Liability (Litigated, $500K+) Overview...SeniorFull timeWork at officeLocal areaImmediate startRemote workHome office- The Carlisle Group (TCG) has been retained to conduct a search for a General Liability Adjuster for a well‑regarded P&C insurance organization. The role requires handling moderately complex liability matters with independent judgment and applying advanced evaluation of...Senior
$115k - $140k
A leading insurance firm seeks a Senior Claims Specialist for Professional Liability claims management. This remote position involves evaluating claims, managing litigation phases, and fostering relationships with stakeholders. Candidates should possess a Bachelor’s degree...SeniorRemote workFlexible hours- ...General Placement Service is recruiting on behalf of a top-rated specialized insurance carrier. They seek to hire a Senior Casualty Claims Specialist to settle claims within the designated authority level. In this role you will operate on a hybrid work schedule while...SeniorImmediate start
- ...Claims Specialist/Senior Claims Specialist Mid-Continent Group is currently seeking a Claims Specialist/Senior Claims Specialist to join our Claims Team. The position will work a hybrid schedule from downtown Tulsa, OK, or downtown Cincinnati, OH. Essential Job...Senior
- ...Working remotely in a full-time capacity, the Senior Claims Specialist will manage Medicaid eligibility, authorization, enrollment, and payment posting functions while ensuring compliance with client and Medicaid enrollment guidelines. Key responsibilities Confirm eligibility...SeniorFull timeRemote work
$90k - $115k
A leading insurance firm is seeking a Senior Workers' Compensation Claims Specialist to manage complex claims in Los Angeles. Candidates should have 5-7+ years of experience in claims adjustment, particularly in California, and possess strong negotiation skills. This remote...SeniorRemote work- ...Description OVERVIEW: Performs technical and administrative duties to manage assigned claim files. Participates in the continued training and supervision of Claim Specialist I’s. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage medical malpractice claims, including the assignment...Senior
- Sedgwick Claims Management Services Ltd in Ohio seeks a Sr Adjuster/Marine Surveyor to investigate and adjust property and casualty claims with minimal supervision. This role covers residential and commercial claims, with telecommuting options in Ohio. You will inspect...SeniorRemote job
- ...Senior Claims Specialist-NV Workers Compensation Senior Claims Specialist-NV Workers Compensation 4 days ago Be among the first 25 applicants Direct message the job poster from Strategic Comp Recruiting Specialist/HR Business Partner at Great American Insurance...SeniorFull timeTraineeshipWork at officeNight shift
$140k - $185k
...Program Management and Construction Management-for-Fee firm, then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against specified transit agencies. The successful candidate will be responsible to work...SeniorFull timeContract workFor contractors3 days per week$125k - $145k
..., sexual orientation, veteran status, or any basis prohibited by the laws that govern its operations. AXIS Capital, Senior Claims Specialist – Casualty Programs About AXIS This is your opportunity to join AXIS Capital – a leading provider of specialty insurance...SeniorFull timeFor contractors- ...Senior Claims Specialist To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer...SeniorApprenticeshipWork at officeRemote work
$61.05k - $98.33k
...Job Description Job Description The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The...SeniorMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$74.3k - $82.55k
...Thank you for considering opportunities with us! Job Title Sr. Claims Specialist, Commercial Casualty - Remote Requisition Number R7910 Sr. Claims Specialist, Commercial Casualty - Remote (Open) Location Colorado - Home Teleworkers Additional Locations...SeniorHourly payH1bRemote workWork from homeFlexible hours$61.05k - $98.33k
...Job Description Job Description The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior...SeniorMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$29.35 - $47.28 per hour
...Job Description Job Description The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior...SeniorHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...Senior Claims Specialist Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries...SeniorLocal areaImmediate startRemote workWork from homeFlexible hours
$55.8k
...is part of Fairfax Financial Holdings. For more information about C&F, please visit our website: Job Description Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and...SeniorWork at officeRemote work- ...strategies that benefit both employers and employees. Find out more by visiting . Position Summary The Senior Unemployment Claims Specialist supports our clients by coordinating unemployment claims response, providing guidance to clients on best practices while...SeniorTemporary workWork at officeRelocation packageFlexible hours
$125k - $175k
A leading insurance company is looking for a Senior Claims Specialist to manage general liability claims, particularly in New York construction. You will conduct coverage analysis, negotiate resolutions, and collaborate with management and stakeholders to meet business...Senior- Munich Re is seeking a Senior Claims Specialist in New York to oversee property claims, manage the adjusting process, and evaluate coverage. The ideal candidate possesses strong analytical and negotiation skills, with over 7 years of experience in specialty claims handling...Senior
- CorVel Corporation is seeking a Senior Workers' Compensation Claims Specialist in Downers Grove, IL. The role supports complex workers’ compensation claims, collaborates with case managers and attorneys, and ensures cost-containment strategies are followed. Responsibilities...Senior
- MSIG USA is seeking an experienced claims adjuster to manage assigned claims, conduct timely investigations, identify coverage questions, and establish reserves within authority to reach fair settlements. The role emphasizes thorough analysis and strong communication with...Senior
- Liberty Mutual Insurance is seeking a skilled claims adjuster in Plano, Texas. The ideal candidate will manage claims to evaluate liability and compensability, establish action plans, and conduct thorough investigations of claims to confirm coverage. The role requires...Senior
- The Hartford is seeking a Claims Specialist to manage a portfolio of complex auto and general liability claims from initiation through resolution... ...strategies while maintaining strong documentation and reporting to senior claim leadership. #J-18808-Ljbffr The HartfordSenior
- AXIS Capital is seeking a Senior Claims Specialist for EPL and Fiduciary claims in North America. The role involves managing primary and excess EPL and fiduciary claims, including investigations, coverage analysis, and settlement strategies. Frequent interaction with executives...Senior
- Parkland Health seeks an experienced claims specialist to investigate, analyze, and resolve complex claims and payment disputes. You will review provider disputes, member grievances, and payment discrepancies to ensure accurate adjudication. Collaborate with cross-functional...Senior
- CNA Insurance in Chicago seeks a senior claims professional to manage complex commercial claims with large exposures, verify coverage, conduct investigations and orchestrate settlements within authority. You will lead investigations, develop resolution strategies, monitor...Senior
- Chubb is seeking an experienced Auto, General & Liability (AGL) Claim Specialist to join our team in Overland Park, KS. This role demands handling and maintaining claims, investigating them promptly while collaborating with the Claims Team Leader. The ideal candidate should...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Specialist. Be the first to apply!
Related searches
- remote medical claims processor United States
- claims assistant United States
- claim representative (remote) United States
- claims analyst work from home United States
- claim specialist United States
- medical insurance claims specialist United States
- claims resolution specialist United States
- senior claims specialist United States
- medical claims analyst United States
- claims specialist remote United States



