Senior Casualty Claims Specialist

## Senior Casualty Claims Specialist Apply:
Hybrid:
OH-Cincinnati:
CA-Los Angeles:
GA-Atlanta:
IL-Chicago:
NJ-Warren:
Full time:
Posted Today:
JR-001125

MSIG USA continues to grow!
** Company Overview:
** MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.

The Senior Casualty Claims Specialist is responsible for managing and resolving highly complex and high-severity liability claims, including litigated matters and coverage disputes. The role conducts thorough investigations, analyzes coverage and liability, evaluates damages and exposure, establishes appropriate reserves, and negotiates timely and equitable claim resolutions in accordance with MSMM Claim Handling Guidelines, regulatory requirements, and Fair Claims Practices Acts.

This position protects our insureds and the Company’s financial and reputational interests through sound claim strategy, effective litigation management, accurate documentation, and responsive service to insureds, claimants, brokers, Underwriting, Home Office personnel, and other internal and external stakeholders.  
** Essential Functions
**** Claims Handling*
* • Investigate, evaluate, and manage highly complex or high-severity General Liability and Excess claims, including coverage analysis, liability determination, damages assessment, and legal issues affecting exposure.
• Establish and maintain appropriate case reserves. Resolve claims within designated reserve and settlement authority and recommend reserve or settlement actions for matters exceeding authority.
• Develop and execute claim strategies that support timely, fair, and equitable resolutions in accordance with company guidelines and jurisdictional requirements.
• Manage litigated files by assigning matters to approved defense counsel, providing strategic direction, monitoring performance and outcomes, and maintaining compliance with the company’s Litigation Management Program.
• Review legal invoices and claim expenses for accuracy, reasonableness, and compliance with applicable guidelines.
• Attend mediations, settlement conferences, pretrials, and trials as required.
• Identify, analyze, and appropriately communicate coverage issues and disputes in accordance with Company coverage guidelines.
• Maintain timely and accurate claim file documentation, evaluations, reports, and system activity throughout the life of the claim.
** Customer & Stakeholder Service*
* • Deliver responsive, professional claim service to insureds, claimants, brokers, and business partners.
• Maintain proactive communication throughout the life of the claim to provide appropriate status updates and meet regulatory and company expectations.
• Support client-facing activities, including claim reviews, presentations, and partnership meetings with Underwriting and distribution teams.
• Build effective working relationships with Home Office personnel, defense counsel, vendors, and other internal and external stakeholders.
** Regulatory Compliance & Operational Excellence*
* • Ensure compliance with applicable state and federal regulations, including Fair Claims Practices Acts, as well as MSMM Claim Handling Guidelines and procedures.
• Submit accurate and timely data and reports to regulatory agencies and internal stakeholders as required.
• Maintain active adjuster licenses and complete applicable continuing education requirements.
• Prepare and deliver regular updates to Home Office and senior stakeholders…