Senior Casualty Claims Adjuster; N&D

• 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.

• 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.

Equal Opportunity Employer
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