Senior Complex Claims Specialist

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 Directs vision is to make life better for business. The insurance industry has not evolved with innovation like other major here to change that. We are making life better for our customers shareholders and our team members 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. Join a group that enjoys working together trusts each other and takes pride in our hard-earned success.

Company is an equal employment opportunity employer.

We are seeking an experienced Senior Complex Claims Specialist to join our team at Intrepid Direct 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.

Key functions include but are not limited to:

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.
• Managing vendors involved with claim files i.e. Independent Adjusters Defense Attorneys and Coverage Counsel

In-office

• Bachelors 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.