Senior Casualty Claims Adjuster (N&D)

Responsibilities:

· Manage a complex casualty claims caseload, including bodily injury, general liability, and multi-party losses.

· Conduct thorough investigations, including recorded statements, liability analysis, damage evaluation, and coverage determination.

· Identify and evaluate exposure, negligence, comparative fault, and causation issues.

· Establish and maintain accurate, timely reserves consistent with company guidelines and actuarial expectations.

· Manage litigated claims from inception through resolution, including selection, direction, and oversight of defense counsel.

· Develop and execute litigation strategies in collaboration with defense counsel to control costs and achieve favorable outcomes.

· Review discovery, expert reports, and evaluations; attend mediations, arbitrations, and settlement conferences as required.

· Evaluate settlement opportunities and negotiate resolutions within assigned authority or present recommendations for higher authority.

· Analyze policy language and endorsements to determine coverage applicability and exposure.

· Issue reservation of rights and coverage position letters in accordance with regulatory and company standards.

· Ensure compliance with all applicable state regulations, DOI requirements, and internal best practices.

· Control indemnity and expense spend through proactive claim strategy and effective vendor oversight.

· Approve and monitor legal invoices, expert fees, and vendor costs to ensure reasonableness and adherence to guidelines.

· jServe as a primary point of contact for insureds, claimants, agents, and attorneys on complex claims.

· Communicate clearly and professionally regarding claim status, strategy, and resolution.

· Document all claim activity accurately and thoroughly within the claims management system.

Qualifications and Skills:

· 7 years of casualty claims handling experience, including complex bodily injury and litigated claims.

· Strong working knowledge of liability laws, negligence standards, and insurance coverage principles.

· Demonstrated experience managing defense counsel and complex litigation.

· Proven negotiation skills with a track record of effective claim resolution.

· Ability to work independently, prioritize workload, and make sound decisions within authority.

· Proficiency with claims management systems and standard office software.

Salary : $46 - $67