Complex Loss Specialist (Insurance)

TL;DR

Complex Loss Specialist (Insurance): Adjusting time-intensive and high-exposure losses with an accent on technical expertise and negotiating ability. Focus on resolving complex coverage questions, managing litigation, and providing strategic analysis for Senior Executives.

Location: Remote (United States). Must be legally authorized to work in the US.

Salary: $87,000 - $110,000 USD

Company

An Insurtech powerhouse and data-driven commercial MGA focusing on innovative insurance distribution for a range of industries.

What you will do

• Adjust the most complex, time-intensive, and high-exposure losses.
• Research and resolve coverage questions, drafting reservation of rights and coverage denials.
• Investigate losses via statements, contracts, and expert reports.
• Manage defense counsel, independent adjusters, and experts for lawsuits.
• Evaluate and recommend reserves for assigned files.
• Present strategic resolution strategies and analysis to Senior and Program Executives.

Requirements

• Minimum 10 years of claims experience with an emphasis on complex claims.
• Active New York adjusters license required.
• Individual adjusting license for a designated home state.
• College degree or equivalent claims management experience.
• Must be legally authorized to work in the United States (participates in E-Verify).
• Proficiency in Microsoft Office (Outlook, Word, Excel).

Nice to have

• Minimum 10 years of litigation management experience.

Culture & Benefits

• Employee Ownership Program sharing in company financial growth.
• Comprehensive medical, dental, and vision insurance with HSA and company contribution.
• 401(k) plan with company match.
• Work-from-home reimbursement for remote roles.
• Professional development opportunities and various time-off programs.
• Confidential Employee Assistance Program and financial wellness programs.