Casualty Claims Specialist III
Job Description
Make your mark in Claims
About the role
Claim Investigation, Evaluation and Negotiation
- Conduct prompt, thorough investigations to determine coverage, liability, damages, and compensability.
- Gather and evaluate evidence, including statements, police reports, medical records, expert reports, and other relevant documentation.
- Analyze coverage issues and prepare reservation of rights, denial, and other coverage correspondence as appropriate.
- Evaluate bodily injury, property damage, and exposure-related claims to determine appropriate resolution strategies.
- Independently negotiate settlements within established authority levels.
- Develop and execute proactive claim resolution strategies that achieve timely and cost-effective outcomes.
- Identify and mitigate claim exposure through effective investigation, evaluation, and negotiation.
- Ensure accurate claim documentation supporting all decisions and actions taken throughout the life of the claim.
Litigation Management
- Manage litigated files and coordinate with defense counsel to develop case strategies.
- Review pleadings, discovery responses, deposition summaries, and legal evaluations.
- Monitor litigation budgets and legal expenses to ensure efficient claim handling.
- Participate in mediations, settlement conferences, and other dispute resolution proceedings as necessary.
Financial and Regulatory Stewardship
- Establish and maintain accurate indemnity and expense reserves with documented rationale.
- Continuously evaluate reserve adequacy throughout the life cycle of the claim.
- Ensure compliance with company guidelines, statutory requirements, and regulatory standards across all applicable jurisdictions.
- Maintain diary and workload management systems to effectively prioritize and resolve assigned inventory.
Customer and Stakeholder Management
- Deliver exceptional customer service through professional, timely, and empathetic communication.
- Build strong working relationships with insureds, brokers, claimants, attorneys, and internal stakeholders.
- Communicate claim status, strategy, and exposure effectively to management and business partners.
What you’ll need to succeed
- Bachelor's degree preferred or equivalent combination of education and experience.
- 4+ years of Commercial Auto Liability and/or Commercial General Liability claims handling experience.
- Demonstrated experience handling bodily injury claims involving moderate to significant exposure.
- Experience interpreting policy coverage and drafting coverage position letters, reservation of rights letters, and denial letters.
- Experience managing both litigated and non-litigated claims.
- Excellent analytical, investigative, and critical-thinking skills.
- Strong verbal and written communication skills.
- Active Property & Casualty Adjuster License preferred; must obtain required state licensing within six months of hire.
Preferred Qualifications
- Litigation management experience.
- Multi-state claims handling experience.
- Experience handling serious bodily injury claims.
- Professional designations such as AIC, CPCU, ARM, or SCLA.
- Prior experience with commercial insurance carriers handling middle-market or large commercial accounts.
For positions based in New York, the base salary range is $81,000 - $109,000. For positions based in New Jersey, the base salary is $86,000 - $106,000. In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here US Benefits Overview .
Ready to take your career to the next level? We would love to hear from you!
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