Claim Rep Sr. SIU, Casualty (Hybrid or Remote)

MAPFRE Insurance; Webster (MA); Hybrid; USD 52,000 - 82,000; Full time

Benefits offered by this job

401(k) & Profit Sharing

Medical, Dental and Vision Coverage

Paid Time Off

Job summary

MAPFRE in Webster, MA is seeking a Senior Casualty Claims Investigator to handle complex Bodily Injury, No-Fault, Med Pay, UM/UIM, and fraud-related claims in a hybrid or remote setting. You will lead investigations, manage litigation aspects, and partner with experts to protect customers and the company.

We value strong analytical, negotiation, and regulatory skills, plus the ability to mentor others and drive process improvements in a fast-paced environment.

Qualifications

• Bachelor's degree or equivalent combination of education and related experience.
• 2+ years of casualty claims handling experience, including Bodily Injury and related coverages.
• Excellent written and verbal communication skills.

Responsibilities

• Investigate complex casualty claims including Bodily Injury and No-Fault.
• Conduct statements, scene reviews, witness interviews, and research.
• Analyze policy coverage, liability, damages, and statutes across jurisdictions.
• Evaluate medical treatment, wage loss, and other damages.
• Develop claim strategies for timely and fair resolutions.
• Negotiate settlements via calls, mediations, arbitrations, and in-person discussions.
• Maintain accurate reserves and manage expenses.
• Collaborate with experts, medical professionals, and vendors.

Skills

Casualty claims handling

Investigative

Negotiation

Regulatory compliance

Policy interpretation

Strong communication

Education

Bachelor's degree or equivalent

Job description

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Claim Rep Sr. SIU, Casualty (Hybrid or Remote)

Date: Oct 27, 2026

Location: Webster or Remote, MA, US

Company: MAPFRE

Higher level opportunity may be available based on experience and qualifications.

Come join a team where your investigative expertise and knowledge make a real impact. We are looking for an experienced casualty claims professional to handle complex Bodily Injury, No-Fault, Med Pay, UM/UIM, and fraud-related claims while managing litigation exposure and delivering outstanding customer service. This role offers the opportunity to work independently, collaborate with legal and investigative partners, and play a critical role in protecting both our customers and the organization through thoughtful, strategic claim handling.

What You'll Do

Investigate Complex Claims

• Manage a diverse caseload of casualty claims, including Bodily Injury, PIP/No-Fault, Med Pay, UM/UIM, and suspected fraud-related matters.
• Conduct detailed investigations through recorded statements, scene reviews, witness interviews, database research, and collaboration with field investigators.
• Analyze policy coverage, liability exposures, damages, and applicable statutes across multiple jurisdictions.
• Evaluate medical treatment, wage loss claims, and other damages using a variety of investigative resources.
• Develop effective claim strategies that lead to timely and fair resolutions.
• Negotiate settlements through phone conferences, mediations, arbitrations, and face-to-face discussions.
• Maintain accurate reserves and manage claim expenses responsibly.
• Partner with experts, medical professionals, and vendors to support claim evaluations and investigations.

Manage Litigation and Regulatory Matters

• Direct and oversee defense counsel on litigated claims.
• Participate in depositions, examinations under oath, mediations, arbitrations, and trial-related activities.
• Prepare responses to regulatory inquiries, consumer complaints, and Department of Insurance matters.
• Ensure compliance with state regulations and company claim-handling standards.

Make an Impact Beyond Your Desk

• Serve as a mentor and resource for less experienced adjusters.
• Share best practices and contribute to training initiatives.
• Recommend process improvements that enhance efficiency and customer experience.
• Represent the organization with professionalism in all internal and external interactions.

What We're Looking For

• Bachelor's degree or equivalent combination of education and related experience.
• 2+ years of casualty claims handling experience, including Bodily Injury and related coverages.
• Strong investigative, analytical, and negotiation skills.
• Experience interpreting insurance policies, coverage provisions, and applicable statutes.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to obtain and maintain required state adjuster licenses.

Preferred Qualifications

• Experience handling SIU, fraud-related, or highly complex casualty claims.
• Insurance coursework, professional designations, or industry certifications.
• Experience working with attorneys, medical experts, and law enforcement agencies.

Why Mapfre?

As a global insurance leader with a strong local presence, we offer more than a job- we provide a purpose-driven career where your growth, well-being, and impact truly matter.

Purpose & Culture:

Join a company built on trust, collaboration, and inclusion. Our values guide everything we do, creating a workplace where people feel respected and empowered.

Career Growth:

Advance your skills through tuition reimbursement, leadership programs, and internal mobility opportunities. Your development is our priority.

Social Responsibility:

Contribute to meaningful initiatives through Fundación Mapfre, supporting communities and sustainability worldwide.

Pay Transparency:

The typical starting salary range for this role is determined by several factors including skills, experience, education, certifications, and location. Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary, calculated based upon factors set forth in the compensation plan for the role.

Salary Range

$52,100 - $82,200

AtMapfre, we invest in our employees' well-being by offering a comprehensive benefits package, including:

• Paid Time Off (PTO):A flexible PTO program that combines vacation, personal, volunteer and sick time into one convenient bank of paid time off.
• 401(k) & Profit Sharing:Eligible employees may participate in Mapfre's 401(k) plan that includes company matching contributions up to certain amounts under the terms of the plan.
• Medical, Dental and Vision Coverage:Choice of comprehensive medical, dental and vision insurance coverage under group plans offered by the company.
• Other Benefits Include: STD, LTD, Life Insurance, FSA, HSA and various wellness programs

Benefits provided are subject to the terms and conditions of the applicable benefit plan or policy. The Company reserves the right to alter, amend, or terminate benefits in its sole discretion. To learn more about our benefit offerings please visit:https://mapfre.gobenefits.net/

If you require a reasonable accommodation during the application or selection process, please contact the Mapfre Talent Acquisition team at [e-mail]. Mapfre is proud to be an Equal Opportunity Employer.

The information above is intended to provide a general overview of available benefits. Eligibility, plan provisions, and coverage are governed by the terms and conditions of the applicable benefit plans and policies, which may be modified from time to time

Nearest Major Market: Worcester
Job Segment: Law, Compliance, Call Center Representative, Claims, Liability, Legal, Customer Service, Insurance