Integrated Specialty Coverages, LLC - Complex Loss Specialist (Allied Health)
Requirements
• Minimum of 10 years of claims experience, with an emphasis on complex Allied Health claims • College degree or equivalent claims management experience required. • Minimum of 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 • Active adjusters license under your name required • Proficient computer skills including Microsoft Outlook, Word, and Excel. • Ability to maintain consistent and clear communication with leadership, the team and all other external points of contact • The starting annual pay scale for this position is listed below. Actual starting pay will be based on factors such as skills, qualifications, training, and experience. In addition, the company offers comprehensive benefits including medical, dental and vision insurance, 401(k) plan with match, paid time off, and other benefits. • ISC's salary ranges are determined by role and level. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations and could be higher or lower based on a multitude of factors, including job-related skills, experience, and relevant education or training.
Responsibilities
• Healthcare liability claims investigation and evaluation, including medical malpractice, general liability, and professional liability exposures • Coverage analysis and interpretation of allied health professional liability policies, including review of coverage dates, limits, exclusions, and endorsements • Medical record review and interpretation across allied health disciplines (physical therapy, home health, diagnostics, behavioral health, etc.) • Drafting reservation of rights letters and coverage denial communications for supervisor review • Reserve evaluation, setting, and recommendation based on exposure analysis and claim trajectory • Litigation management, including assignment and direction of defense counsel, independent medical examiners, and expert witnesses • Investigation & Documentation • Securing recorded and written statements from insureds, claimants, and witnesses • Gathering and organizing supporting documentation including incident reports, medical records, licensing records, contracts, and expert reports • Maintaining accurate, detailed claim file documentation in compliance with carrier and program guidelines • Preparing written reports and roundtable summaries consistent with company policies and procedures
Benefits
• $87,000—$109,000 USD • 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 [email protected] or 760-599-7242. • 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.
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