Sr. Complex Claim Specialist

Overview

Intrepid Direct Insurance (IDI) is a rapidly growing direct to consumer Property and Casualty insurance company. A member of the W. R. Berkley Corporation, a fortune 500 company, rated A+ (Superior) by A.M. Best. Intrepid Direct’s vision is to make life better for business
. We’re here to change the insurance industry by leveraging data and technology as insurance experts for our targeted customers. You will be part of a highly collaborative team of talented and focused professionals who enjoy working together, trust each other, and take pride in our hard-earned success.

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The Company is an equal employment opportunity employer.

• Sr. Complex Claims Specialist to join our team. In this role, you will be responsible for handling complex and high-value insurance claims, providing expert guidance, and ensuring timely and accurate resolution. The successful candidate will have a deep understanding of insurance policies, exceptional problem-solving skills, and the ability to collaborate with various stakeholders.
• Claim Evaluation
  :
  Evaluate and assess complex insurance claims to determine coverage, liability, and potential fraud, ensuring adherence to company policies and industry regulations.
• Investigation
  :
  Conduct thorough investigations, including gathering documentation, statements, and evidence, to support claims decisions and mitigate risks.
• Communication
  :
  Communicate effectively with policyholders, claimants, legal representatives, and other relevant parties to explain claim decisions, negotiate settlements, and address inquiries.
• Collaboration
  :
  Collaborate with internal teams, including underwriting, and actuarial departments, to ensure a comprehensive understanding of the claims process and contribute to process improvements.
• Customer Service
  :
  Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Reserving
  :
  Establishes and maintains appropriate initial and subsequent loss and expense reserves throughout the life of the claim.
• Litigation
  :
  Develop litigation plan with defense or coverage counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Manage vendors involved with claim files, e.g. Independent Adjusters, Defense Attorneys, and Coverage Counsel.

• Bachelor’s degree and/or Juris Doctorate, preferred.
• Insurance related designation (AIC, SCLA and/or CPCU), preferred.
• Have, or ability to obtain adjuster license in required states
• 7+ Years of Commercial Claim Experience – Multiple Lines of Business, preferred.
• Claims handling experience in all lines of property and casualty commercial insurance
• Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills
• Excellent analytical and problem-solving skills
• Self-starting, self-motivating and capable of making decisions independently

We do not accept any unsolicited resumes from external recruiting agencies or firms.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, the training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship not Offered for this Role