Casualty Claims Adjuster

TPI Global Solutions; Worcester (MA); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, vision, life, anddis»

401(k) with company match

Paid time off and company holidays

Professional development and career增长

Job summary

TPI Global Solutions in Worcester, MA seeks a Senior CGL Technical Consultant – Casualty Claims to manage complex litigated claims across multiple states. Hybrid option with 2 days in office or 100% remote for candidates not near a company office.

Responsibilities include investigating, evaluating, negotiating, and resolving complex CGL claims; analyzing coverage, coordinating with defense counsel and stakeholders; and guiding litigation through mediation, arbitration, and trial while ensuring

Qualifications

• 5+ years of CGL litigation claims experience with an insurance carrier.
• License requirements as applicable by state (adjuster).
• Strong knowledge of casualty claims, coverage analysis and litigation procedures.
• Excellent negotiation, investigation and communication skills.

Responsibilities

• Investigate, evaluate, negotiate and resolve complex CGL litigated claims.
• Analyze coverage and liability disputes to develop resolution strategies.
• Collaborate with defense counsel, policyholders and risk managers to resolve claims.
• Manage all aspects of litigation from mediation to trial.
• Represent the company in mediations, arbitrations and trials.
• Review contracts for coverage implications and risk transfer opportunities.
• Prepare coverage position letters based on policy language and law.
• Monitor litigation expenses while maintaining quality and productivity.
• Identify suspicious claims and conduct thorough investigations.
• Serve as a technical resource for other claims adjusters.

Skills

Claims investigation

Negotiation

Litigation management

Coverage analysis

Stakeholder communication

Decision making

Analytical skills

Microsoft Office

Education

Bachelor's degree or equivalent

Tools

Microsoft Office (Word, Excel)

Job description

Title: CGL Sr. Technical Consultant – Casualty Claims

Location: Worcester, MA (Hybrid – 2 days in office) or 100% Remote for candidates not located near a company office

Employment Type: Full-Time

Job Overview

We are seeking an experienced CGL Sr. Technical Consultant – Casualty Claims to manage complex Commercial General Liability (CGL) litigated claims. The ideal candidate will have strong expertise in claims investigation, coverage analysis, litigation management, negotiation, and resolution of complex commercial casualty claims across multiple states.

Key Responsibilities

• Investigate, evaluate, negotiate, and resolve complex Commercial General Liability litigated claims.
• Analyze policy coverage, liability disputes, damages, and supporting evidence to develop effective claim resolution strategies.
• Collaborate with defense counsel, policyholders, risk managers, agents, and other stakeholders to achieve timely and cost-effective claim resolutions.
• Manage all aspects of litigation, including mediations, arbitrations, informal hearings, and trials.
• Represent the company during mediations, arbitrations, and trial proceedings.
• Review contracts and leases to identify coverage implications and risk-transfer opportunities.
• Prepare and communicate coverage position letters based on policy language, applicable statutes, regulations, and case law.
• Monitor and manage litigation expenses while maintaining claim quality and productivity.
• Identify potentially suspicious claims and conduct thorough investigations.
• Serve as a technical resource for other claims adjusters.

Required Qualifications

• 5+ years of Commercial General Liability (CGL) litigation claims experience with an insurance carrier.
• Candidates with TPA-only experience will not be considered.
• Bachelor's degree or equivalent professional experience.
• Must possess or be able to obtain and maintain the appropriate state adjuster licenses and continuing education requirements.
• Strong knowledge of commercial casualty claims, coverage analysis, liability assessment, and litigation procedures.
• Excellent negotiation, investigation, analytical, and decision-making skills.
• Strong written and verbal communication skills.
• Ability to manage complex claims independently and work effectively with internal and external stakeholders.
• Proficiency in Microsoft Office applications, including Word and Excel.
• Ability to work effectively in a paperless environment.
• Medical, dental, vision, life, and disability insurance
• 401(k) with company match
• Paid time off and company holidays
• Professional development and career growth opportunities