Casualty Claims Specialist

MSIG USA; Atlanta (GA); Vor Ort; USD 90.000 - 130.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision coverage

401(k) with employer match

Paid time off

Tuition reimbursement

Zusammenfassung

MSIG USA is seeking a Casualty Claims Specialist to manage highly complex liability claims, including litigated matters. You will investigate, analyze coverage, evaluate damages, establish reserves, and negotiate resolutions in line with MSMM guidelines and regulatory requirements.

The role works with insureds, claimants, brokers, underwriters, and external counsel, ensuring timely updates and sound claim strategy across jurisdictions.

Qualifikationen

• Bachelor’s degree or equivalent; J.D. is a plus.
• Seven years of experience handling complex liability claims, including General Liability and Excess claims.
• Expertise in coverage analysis, liability and damages evaluation, reserving, and litigation management.

Aufgaben

• Investigate, evaluate, and manage complex or high-severity claims, including coverage analysis and damages assessment.
• Establish reserves and advise on settlement actions exceeding authority.
• Develop claim strategies to achieve timely and fair resolutions.
• Manage litigated files with defense counsel and monitor outcomes.
• Ensure compliance with regulatory requirements and company guidelines.

Kenntnisse

Analytical skills

Negotiation

Communication

Independent work

Investigative skills

Ausbildung

Bachelor’s degree or equivalent

J.D. preferred

Tools

Microsoft Word

Excel

Jobbeschreibung

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.

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.

MSIG USA continues to grow!

The 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 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 regarding significant claim developments, exposure, and resolution strategy.
• Participate in special projects, process improvements, and departmental initiatives as assigned.

Qualifications

Education & Experience Required

• Bachelor’s degree or equivalent experience. J.D is a plus.
• Generally, seven of experience handling complex liability claims, including General Liability and Excess claims, high-severity, coverage-sensitive, and litigated matters.
• Demonstrated expertise in coverage analysis, liability and damages evaluation, reserving, litigation management, and claim negotiation.
• AIC, SCLA, CPCU, or other relevant insurance designations preferred.
• Must maintain applicable adjuster licenses and continuing education requirements

Knowledge, Skills, And Abilities

• Strong analytical, investigation, negotiation, problem-solving, and decision-making skills.
• Ability to interpret insurance contracts, legal documents, regulations, and complex factual information.
• Strong written and verbal communication skills, including the ability to present claim strategies and recommendations to senior stakeholders.
• Strong computer skills, including Microsoft Word and Excel, with the ability to learn claim processing and document management systems.
• Ability to work independently, prioritize competing demands, and manage complex claims with limited supervision.
• Same-day and overnight travel may be required, up to 15%.

SALARY

The estimated salary range for this position is $90,000 - 130,000 per year. This is a good‑faith assessment of the salary range for this position only. In determining the actual salary within this range, MSIG USA will consider a candidate’s relevant experience, location, and other job‑related factors.

Additional Benefits

Healthcare and Retirement Benefits

• Comprehensive medical, dental, and vision coverage
• 401(k) with a generous employer match and profit-sharing contribution
• Wellness incentive program
• Life and accidental death and dismemberment (AD&D) insurance
• Flexible spending programs
• Short-term and long-term disability plans

Additional Benefit Programs

• Paid time off program
• Paid charitable leave
• Paid parental leave
• Tuition reimbursement program
• Personal insurance (auto/homeowners) discounts

It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!

It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.