Senior Complex Casualty Claims Resolution Specialist - Northeast Region

Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences as required. Communicates proactively and clearly with policyholders, witnesses, and claimants in order to gather information regarding claims. Responds to various written and telephone inquiries including status reports in a timely and professional manner. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Contributes to a culture of innovation, positivity, and engagement through collaboration, continuous improvement, and active participation in team initiatives. Effectively prepares and delivers presentations by gathering and organizing key information, identifying relevant facts and insights, tailoring content to the audience, and communicating information clearly, concisely, and professionally. Accountable for security of financial processing of claims, as well as security information contained in claims files. Responsible for managing the practices and billing activities of outside and in-house counsel. May assist in the absence of the Claims Unit Manager, representing the company on matters involving state or federal regulatory agencies. May be involved in special projects and/or mentoring at the direction of local management. 5+ years managing complex and litigated casualty claims Homeowner's experience 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 The work you do here can be the foundation for what comes next. As you build technical depth, demonstrate leadership, and expand your impact, you will have opportunities to pursue new challenges and advance within the organization. We give you the opportunity to build your career and the authority to make a difference. 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.