Sr. Complex Claim Specialist jobs in United States
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Intrepid Direct Insurance · 17 hours ago

Sr. Complex Claim Specialist

Intrepid Direct Insurance is a rapidly growing direct to consumer Property and Casualty insurance company. They are seeking an experienced Sr. Complex Claims Specialist to handle complex and high-value insurance claims, providing expert guidance and ensuring timely and accurate resolution.

Financial ServicesInsurance
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Growth Opportunities
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Responsibilities

Evaluate and assess complex insurance claims to determine coverage, liability, and potential fraud, ensuring adherence to company policies and industry regulations
Conduct thorough investigations, including gathering documentation, statements, and evidence, to support claims decisions and mitigate risks
Communicate effectively with policyholders, claimants, legal representatives, and other relevant parties to explain claim decisions, negotiate settlements, and address inquiries
Collaborate with internal teams, including underwriting, and actuarial departments, to ensure a comprehensive understanding of the claims process and contribute to process improvements
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
Establishes and maintains appropriate initial and subsequent loss and expense reserves throughout the life of the claim
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
Managing vendors involved with claim files, i.e. Independent Adjusters, Defense Attorneys, and Coverage Counsel

Qualification

Insurance related designationCommercial Claim ExperienceClaims handling experienceBachelor’s degreeAdjuster licenseAnalytical skillsCommunication skillsOrganizational skillsInterpersonal skillsProblem-solving skillsSelf-motivated

Required

Have, or ability to obtain adjuster license in required states
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

Preferred

Bachelor's degree and/or Juris Doctorate
Insurance related designation (AIC, SCLA and/or CPCU)
7+ Years of Commercial Claim Experience – Multiple Lines of Business

Company

Intrepid Direct Insurance

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Intrepid Direct Insurance is a leading direct property and casualty provider for franchise businesses.

Funding

Current Stage
Growth Stage

Leadership Team

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Bill Strout
President
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Company data provided by crunchbase