Claim Rep Sr, SIU - Casualty; Hybrid or Remote

Claim Rep Sr, SIU - Casualty (Hybrid or Remote)

Location:

Webster or Remote, MA, US

Company: MAPFRE

Higher level opportunity may be available based on experience and qualifications.

Come join a team where your investigative expertise and knowledge make a real impact. We are looking for an experienced casualty claims professional to handle complex Bodily Injury, No-Fault, Med Pay, UM/UIM, and fraud-related claims while managing litigation exposure and delivering outstanding customer service. This role offers the opportunity to work independently, collaborate with legal and investigative partners, and play a critical role in protecting both our customers and the organization through thoughtful, strategic claim handling.

What You'll Do

Investigate Complex Claims

• Manage a diverse caseload of casualty claims, including Bodily Injury, PIP/No-Fault, Med Pay, UM/UIM, and suspected fraud-related matters.
• Conduct detailed investigations through recorded statements, scene reviews, witness interviews, database research, and collaboration with field investigators.
• Analyze policy coverage, liability exposures, damages, and applicable statutes across multiple jurisdictions.
• Evaluate medical treatment, wage loss claims, and other damages using a variety of investigative resources.
• Develop effective claim strategies that lead to timely and fair resolutions.
• Negotiate settlements through phone conferences, mediations, arbitrations, and face-to-face discussions.
• Maintain accurate reserves and manage claim expenses responsibly.
• Partner with experts, medical professionals, and vendors to support claim evaluations and investigations.

Manage Litigation and Regulatory Matters

• Direct and oversee defense counsel on litigated claims.
• Participate in depositions, examinations under oath, mediations, arbitrations, and trial-related activities.
• Prepare responses to regulatory inquiries, consumer complaints, and Department of Insurance matters.
• Ensure compliance with state regulations and company claim-handling standards.

Make an Impact Beyond Your Desk

• Serve as a mentor and resource for less experienced adjusters.
• Share best practices and contribute to training initiatives.
• Recommend process improvements that enhance efficiency and customer experience.
• Represent the organization with professionalism in all internal and external interactions.

What We're Looking For

• Bachelor's degree or equivalent combination of education and related experience.
• 2+ years of casualty claims handling experience
  , including Bodily Injury and related coverages.
• Strong investigative, analytical, and negotiation skills.
• Experience interpreting insurance policies, coverage provisions, and applicable statutes.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to obtain and maintain required state adjuster licenses.

Preferred Qualifications

• Experience handling SIU, fraud-related, or highly complex casualty claims.
• Insurance coursework, professional designations, or industry certifications.
• Experience working with attorneys, medical experts, and law enforcement agencies.

Why Mapfre?

As a global insurance leader with a strong local presence, we offer more than a job — we provide a purpose-driven career where your growth, well-being, and impact truly matter.

Purpose & Culture:
Join a company built on trust, collaboration, and inclusion. Our values guide everything we do, creating a workplace where people feel respected and empowered.

Comprehensive Benefits:
Enjoy competitive health coverage, retirement plans, paid time off, flexible work options, and lifestyle perks like employee discounts.

Career Growth:
Advance your skills through tuition reimbursement, leadership programs, and internal mobility opportunities. Your development is our priority.

Social Responsibility:
Contribute to meaningful initiatives through Fundación Mapfre, supporting communities and sustainability worldwide.

Pay Philosophy:
The typical starting salary range for this role is determined by several factors including skills, experience, education, certifications, and location. Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary, calculated based upon factors set forth in the compensation plan for the role.

Salary Range $52,100 - $82,200

We are proud to be an equal opportunity employer.

Nearest Major Market: Worcester
Job Segment: Law, Call Center Representative, Compliance, Liability, Customer Service Representative, Legal, Customer Service, Insurance