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Integrated Specialty Coverages

<div><div>About Integrated Specialty Coverages

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.
Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and &quot;Main Street USA&quot;, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we're building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners.</div>
Job Summary

The Claims Manager position at Golden State Claims Adjusters reports to the Senior Vice President of Claims and supervises a team of Claims Supervisors and operational staff. The Claims Manager acts as a liaison between Golden State and our carrier partners and provides strategic and operational leadership on assigned programs to ensure regulatory compliance, operational efficiency, strong claim outcomes, and an exceptional customer experience. This role partners closely with internal stakeholders and external vendors, leverages data and reporting to identify trends and risks, and ensures Best Practices, service standards, and KPIs are consistently met.

Position Responsibilities
<ul>
<li>Manage numerous supervisors and adjusters of varying levels of technical experience and is responsible for hiring, onboarding, training, coaching, and performance management</li>
<li>Provide leadership and mentoring to adjusters and supervisors, fostering engagement, accountability, professional development, and retention</li>
<li>Share responsibility for reviewing all new claim files and assigning them to the appropriate adjuster based on experience level, licensure, and workload</li>
<li>Place supervisory notes of a technical nature in each file at the 30-day mark and at least every 90 days thereafter, or more frequently as claim complexity dictates</li>
<li>Address escalated complaint calls from clients, insureds, and claimants and collaborate with teams to resolve issues promptly and effectively</li>
<li>Conduct claim conferences with adjusters, carrier partners, defense counsel, coverage counsel, and other vendors as needed</li>
<li>Review coverage evaluations, coverage letters, reserves, and significant payments to ensure accuracy, timeliness, and compliance with best practices and authority levels</li>
<li>Participate in assigned task forces, committees, and cross-functional initiatives focused on continuous improvement and operational effectiveness</li>
<li>Conduct training seminars and technical workshops for new and existing employees</li>
<li>Carry a pending of key, large exposure, sensitive, or escalated claim files as required</li>
<li>Conduct internal audits on a quarterly basis and ensure timely remediation of findings</li>
<li>Identify, report, and track Notices of High Potential (NHP) claims and adverse trends</li>
<li>Present claim files and operational results at weekly roundtables and leadership meetings</li>
<li>Partner with the Senior Vice President of Claims to refine department procedures, workflows, metrics, and KPIs</li>
<li>Support audit compliance, resource planning, and staffing needs while driving efficiency and quality outcomes</li>
<li>Perform additional duties to support department goals, compliance requirements, and overall claims performance</li>
</ul>
Minimum Qualifications
<ul>
<li>Bachelor's degree or equivalent combination of education and claims management experience</li>
<li>10+ years of insurance claims experience</li>
<li>5+ years of progressively responsible claims management experience, including litigation exposure</li>
<li>Demonstrated experience leading, developing, and supervising claims professionals</li>
<li>Strong understanding of California claims regulations; multi-jurisdictional experience a plus</li>
<li>Must be licensed as a Qualified Claims Manager in the State of California, with ability to maintain required certifications</li>
<li>Strong analytical, organizational, and communication skills with the ability to use data and reporting to drive decisions</li>
<li>Proficient computer skills, including Microsoft Outlook, Word, Excel, and claims management systems</li>
<li>Background/experience should include:
<ul><li>Construction liability, construction defect, GL/PD, GL/BI, Excess, high level coverage evaluation.</li>
<li>Understanding of claims handling requirements and legal trends in all 50 States.</li>
<li>NYLL, Energy, Environmental, Transportation experience a plus.</li></ul></li> 
</ul>
<div>Benefits of Working at ISC
<ul>
<li>Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows</li>
<li>Professional development opportunities</li>
<li>Owner Referral Program</li>
<li>Work from home reimbursement for remote/hybrid roles</li>
<li>Canary emergency financial assistance program</li>
<li>Comprehensive medical, dental, vision</li>
<li>Life/AD&amp;D Insurance</li>
<li>Confidential, Employee Assistance Program</li>
<li>Health Savings Account, includes company contribution</li>
<li>Short-term disability</li>
<li>Voluntary benefits - supplemental accident, critical illness, hospital insurance</li>
<li>Employee discounts</li>
<li>401(k) Plan with company match contribution</li>
<li>Addition Wealth Financial Wellness Program</li>
<li>Various Time Off Programs</li>
<li>11 company paid holidays</li>
</ul>
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 HR@ISCMGA.com 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 &quot;can-do&quot; attitude, and fostering a collaborative and mutually supportive environment.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law. 


**Must be legally authorized to work in the United States.**

**ISC participates in the Federal E-Verify program**</div></div>

Claims Manager

<div><div>About Integrated Specialty Coverages

Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.
Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and &quot;Main Street USA&quot;, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we're building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners.</div> 


Job Summary

The Complex Loss Specialist position at Golden State Claims Services reports to a Claims Supervisor or Claims Manager and will specialize in New York Labor Law and Excess claims. The chief duty of the Complex Loss Specialist is to adjust the most time-intensive, complex, and high exposure losses that require a higher level of technical expertise, knowledge, and negotiating ability, for the program(s) to which she/he is assigned. The Complex Loss Specialist will have a high level of ability to provide analysis and presentations to Senior Executives and Program Executives for these complex matters and will be well-versed in leading strategic roundtable discussions to determine optimal resolution strategy.

Position Responsibilities
<ul>
<li>Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior, and effort to achieve goals and objectives.</li>
<li>Building and maintaining productive relationships with internal and external customers, including clients, underwriting and service teams, and agents</li>
<li>Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions</li>
<li>Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager</li>
<li>Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc.</li>
<li>Document activities in writing within claim files</li>
<li>Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier.</li>
<li>Assign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and experts.</li>
<li>Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager</li>
<li>Evaluate, set, or recommend reserves for each file they are handling.</li>
<li>Prepare written reports as dictated by company policy and procedures.</li>
<li>Handle claims within guidelines of the Fair Claims Practices 790.03</li>
<li>Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling.</li>
<li>Discuss unique and complex files with Supervisor/Manager</li>
</ul>
Minimum Qualifications
<ul>
<li>Minimum of 10 years of claims experience, with an emphasis on complex claims</li>
<li>College degree or equivalent claims management experience required.</li>
<li>Minimum of 10 years litigation management experience preferred.</li>
<li>Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed</li>
<li>Active New York adjusters license under your name required</li>
<li>Proficient computer skills including Microsoft Outlook, Word, and Excel.</li>
<li>Ability to maintain consistent and clear communication with leadership, the team and all other external points of contact</li></ul><div> 
Benefits of Working at ISC
<ul>
<li>Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows</li>
<li>Professional development opportunities</li>
<li>Owner Referral Program</li>
<li>Work from home reimbursement for remote/hybrid roles</li>
<li>Canary emergency financial assistance program</li>
<li>Comprehensive medical, dental, vision</li>
<li>Life/AD&amp;D Insurance</li>
<li>Confidential, Employee Assistance Program</li>
<li>Health Savings Account, includes company contribution</li>
<li>Short-term disability</li>
<li>Voluntary benefits - supplemental accident, critical illness, hospital insurance</li>
<li>Employee discounts</li>
<li>401(k) Plan with company match contribution</li>
<li>Addition Wealth Financial Wellness Program</li>
<li>Various Time Off Programs</li>
<li>11 company paid holidays</li>
</ul>
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 HR@ISCMGA.com 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 &quot;can-do&quot; attitude, and fostering a collaborative and mutually supportive environment.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law. 


**Must be legally authorized to work in the United States.**

**ISC participates in the Federal E-Verify program**</div></div>

Complex Loss Specialist

Join Integrated Specialty Coverages and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Integrated Specialty Coverages

About Company

Claims Manager

Complex Loss Specialist