DescriptionWhat You’ll Do:
- Manage the investigation, evaluation, and resolution of complex auto and homeowner’s casualty claims.
- Assess coverage, liability, and damages; recommend settlement strategies and escalate appropriately for authority review.
- Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
- Collaborate closely with trial counsel; attend mediations, arbitrations, trials, hearings, and conferences.
- Prepare detailed litigation and trial reports for local management and Home Office.
- Communicate effectively with policyholders, witnesses, attorneys, and claimants to gather information and provide guidance.
- Responds to various written and telephone inquiries including status reports.
- Maintain accurate reserves, recommending increases on cases in excess of authority.
- Safeguard financial and confidential information across all claim files.
- Oversee billing practices of outside and in‑house counsel to ensure compliance and cost efficiency.
- May assist as a resource to the team, stepping in for the Claims Team Manager when needed or mentoring colleagues; or representing the company on matters involving state or federal regulatory agencies.
- Participate in special projects at the direction of leadership.
What You Bring - Ideal Experience Includes:
- 5+ years managing complex and litigated casualty claims
- Deep expertise handling severe to catastrophic injuries and fatalities
- Strong analytical thinking, negotiation skills, and sound judgment
- Ability to thrive in a fast‑paced, high‑stakes environment
- Professionalism, empathy, and exceptional communication skills
- Southeast Casualty claims handling
Where You Can Work
If you live within 50 miles of one of our hub locations, the role is hybrid (2 days in office). Otherwise, it may be fully remote. Candidates located in the Central or Eastern time zones would be most ideal as this position supports claims located in the Southeast Region.
Hub Locations:Chandler, AZClifton Park, NYColumbus, OHIndianapolis, INLake Mary, FLLiberty Lake, WAMarlton, NJPlano, TXSuwanee, GAWarrenville, ILWestborough, MA
Travel: 10% for mediations, arbitrations, trials, or in‑person events.
Training That Sets You Up for Success
Your growth begins on day one. Active engagement and reliable attendance during training are mandatory and crucial to your success in this high‑impact role.
Qualifications
- Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
- Must be able to effectively handle claims at the highest technical and complexity level.
- Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
- A full working knowledge of claims operations and procedures is required.
- Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills.
- The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience.
- Ability to obtain proper licensing as required.
