About the roleWe are seeking an experienced and proactive Major Case Claims Resolution Specialist to oversee high-exposure, complex, and litigated claims involving serious injuries In this role, you will take ownership of the full claims lifecycle-from initial investigation through resolution-while managing litigation strategy and collaborating with defense counsel.
You'll be a key point of contact for all stakeholders, including claimants, legal counsel, medical professionals, and internal teams. These files often involve layered policies, multi-party litigation, and sensitive negotiation. You will be empowered to shape case strategy, resolve complex coverage issues, and maintain a strong focus on timely, thoughtful outcomes.
This role also includes the opportunity to influence how we streamline and improve our processes by working closely with our product and engineering teams to deliver feedback from the frontlines of complex claim handling.
Location RequirementCandidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.
What you'll do- Managing all aspects of litigated cases, including evaluation of the resolution process
- Analyze auto claims to identify areas of dispute, investigating and gathering all necessary information and documentation, evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers
- Manage litigation cases related to auto claims disputes, communicating regularly with clients, attorneys, vendors and other stakeholders
- Review legal documents and ensuring compliance with initial suit-handling plan of action.
- Analyze policy language and reaching appropriate coverage decisions.
- Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters
- Maintain the appropriate adjuster licenses and continuing education requirements
Qualifications- Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
- 10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
- Experience with Commercial Auto is Required
- You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable
- Having an understanding of transportation coverages, contractual risk transfers, and additional insured forms
- You have strong medical causation knowledge
- You have a sense of urgency and understanding of how to manage time-sensitive demands
- Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
- Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
- Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
- Ability to professionally collaborate with all stakeholders in a claim
- Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain any additional required licenses within 60 days, including state testing.
- Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment
- Curious and motivated by problem solving and questioning the status quo
- Desire to engage in learning opportunities and continuous professional development
- Willingness to travel for client and claims needs
Benefits- Generous health-insurance package with nationwide coverage, vision, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
- Generous family leave policy after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
