Senior Casualty Examiner

This is a fully remote position, open to applicants in Florida, +9 more states.

📋 Description

• Investigate, assess, reserve, negotiate, and resolve high-exposure and intricate casualty claims in line with company policies and best practices.

• Identify coverage concerns and draft reservation of rights or denial letters as necessary.

• Conduct comprehensive investigations, which include obtaining recorded statements, scrutinizing police and medical records, and assessing liability and damages.

• Establish and uphold suitable reserves backed by timely documentation and continuous claim assessment.

• Manage litigated cases in collaboration with defense counsel, including strategy formulation, discovery supervision, and evaluation of settlement prospects.

• Prepare cases for and represent MMG during mediations, arbitrations, and other forms of alternative dispute resolution.

• Direct and oversee independent adjusters, investigators, appraisers, experts, and other external vendors as required.

• Communicate professionally and clearly with insured individuals, claimants, attorneys, agents, medical providers, and internal stakeholders.

• Identify subrogation prospects and prepare files for recovery efforts.

• Foster and maintain positive working relationships with agents, independent adjusting firms, attorneys, and vendors.

• Travel as necessary to fulfill key job functions, attend meetings, and participate in training or educational opportunities.

• Execute additional tasks as assigned.

⛳️ Requirements

• Bachelor’s degree and 8–10 years of experience in casualty claims, or an equivalent combination of education and experience.

• Proven experience managing high-exposure, high-severity, and large loss casualty claims, including complex injury and litigated cases.

• Advanced understanding of casualty coverages, policy interpretation, and reserving practices, with the capability to evaluate claims with significant financial implications.

• Demonstrated ability to autonomously manage litigated files, including collaborating with defense counsel, assessing risk, and creating resolution strategies.

• Strong negotiation skills and the ability to effectively articulate and defend claim decisions in adversarial contexts.

• Excellent written and verbal communication abilities, including the capacity to draft clear and professional coverage correspondence.

• Proven track record of independently managing complex workloads while meeting deadlines and service expectations.

• Display professionalism, sound judgment, and the ability to remain composed and effective under pressure.

• Strong organizational skills and attention to detail.

• Ability to work collaboratively with internal partners and external vendors.

• Valid driver’s license and willingness to travel up to approximately 25%, as business needs dictate.

🏝️ Benefits

• Comprehensive health and wellness benefits.

• Competitive salary and performance-based incentives.

• Opportunities for professional development and training.

• Flexible work arrangements.

• Retirement savings plan with company match.