About the Role
The Senior Claims Consultant is responsible for handling and resolving complex, highly specialized claims through investigation, evaluation, and disposition. This position makes appropriate recommendations to management on coverage and settlement of claims and supports Trade Credit underwriting teams on policy language and drafting endorsements. The role also provides counsel to the Trade Credit team through communication and education about specific claims.
Responsibilities
- Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
- Determines coverage, drafts coverage correspondence, and responds to coverage questions.
- Determines exposure, establishes adequate reserves, and makes timely adjustments.
- Selects, assigns, and directs activities of internal and external resources, including independent adjusters, appraisers, and attorneys.
- Identifies questionable claims and consults with SIU for further direction.
- Determines settlement value of the loss and negotiates proper settlement of claims within authority.
- Provides recommendations for settlement and disposition of claims exceeding authority level.
- Monitors bankruptcy filings and proof of loss process.
- Responsible for all collection, subrogation, and recovery actions associated with claims file.
- Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity.
- Communicates with brokers and underwriting business partners regarding claims trends and legal climate.
- Provides expertise and insight as requested relative to needed coverage changes or enhancements.
- Maintains a strong professional knowledge of regulatory and legal environments and applies this information effectively.
- Stays abreast of state license requirements and participates in continuing education.
- Coaches or trains less experienced claim representatives.
- Develops and leads technical training and provides guidance to other departments.
Requirements
- Bachelor’s degree required, JD strongly desired.
- 5-10 years of progressively more complex, specialized claims handling experience.
- Experience working on complex Trade Credit Institution Claims.
Work Type
- Full-time
Experience Level
- Senior
Education Level
- Bachelor's degree
- JD
Salary/Compensations
- $141,000 – $176,000
- $153,000 -$180,000
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 and a variety of additional voluntary benefits.
About the Company
- At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique.
- Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services.
- Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups.
- Intact’s Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe.
- We live our Values: We are committed to acting with the highest of ethical standards through our five core values: integrity, respect, customer driven, excellence and social responsibility.
- Our commitment to Diversity: Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed.
- Manage your Time: What you accomplish matters more than hours in the office. We are committed to creating a positive and supportive environment in which you perform your best.
- Our Time-Off and Flexible Work Arrangement options help foster a healthy work-life balance.
- At Intact Insurance Specialty Solutions we are experts at what we do.
- Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services.
- Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups.
- Today, we help protect over a dozen industries with tailored coverages and services.
Equal Opportunity
- Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed. Together, we will stand up for what’s right to build an inclusive society.
