Claim Specialist, Casualty (Hybrid or Remote)

MAPFRE Insurance; Webster (MA); Hybrid; USD 59,000 - 84,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

401(k) & Profit Sharing

Medical, Dental and Vision Coverage

Job summary

MAPFRE, a global insurer, is hiring a Claim Specialist, Casualty (Hybrid or Remote) in Webster, MA. You will manage a diverse caseload of moderate to high-severity Bodily Injury and UM/UIM claims, interpreting auto policies and coordinating investigations and settlements.

You’ll negotiate, collaborate with attorneys and experts, and maintain timely communications with customers while upholding confidentiality and regulatory standards.

Qualifications

• At least 3 years of claims adjusting experience required.
• Bachelor’s degree or professional-level knowledge in a specialized field, or equivalent related experience.
• Experience handling Bodily Injury and/or Uninsured/Underinsured Motorist claims is highly desirable.
• Strong knowledge of Personal and Commercial Auto policies.
• Excellent written, verbal, negotiation, and customer service skills.

Responsibilities

• Manage moderate to high-severity Bodily Injury and UM/UIM claims.
• Review and interpret Personal and Commercial Auto policies, endorsements, exclusions, applicable statutes and case law.
• Screen new losses to identify coverage issues, exposures, and next steps.
• Conduct thorough investigations to determine coverage, liability, and damages.
• Negotiate settlements through telephone and in-person discussions, settlement conferences, mediations, and arbitrations.
• Maintain an organized and proactive pendings while meeting productivity and claim closure expectations.

Skills

Casualty claims

Negotiation

Customer service

Analytical skills

Policy interpretation

Education

Bachelor’s degree

Associate degree with related experience

Tools

Claims systems

Microsoft Office

Job description

Claim Specialist, Casualty (Hybrid or Remote)

Location: Webster or Remote, MA, US

Company: MAPFRE

Webster, MA | Hybrid (2 Days In-Office, 3 Days Remote) for Local Candidates or Fully Remote for Candidates Outside a Commutable Distance

Make an Impact When It Matters Most

Are you an experienced Casualty Claims professional who enjoys investigating complex claims, solving problems, and helping customers navigate challenging situations? In this role, you’ll manage a diverse caseload of moderate to high-severity Bodily Injury and Uninsured/Underinsured Motorist claims, using your expertise to evaluate coverage, investigate liability, negotiate settlements, and bring claims to fair and timely resolution.

This is an excellent opportunity for an experienced adjuster who is confident making decisions, enjoys negotiation, and is ready to take ownership of more complex casualty claims.

What You’ll Do

As an Automobile Casualty Claims Adjuster, you will:

• Manage moderate to high-severity Bodily Injury and Uninsured/Underinsured Motorist claims, which may include multi-jurisdictional claims.
• Review and interpret Personal and Commercial Auto policies, endorsements, exclusions, applicable statutes, and case law.
• Screen new losses to identify coverage issues, exposures, and appropriate next steps.
• Conduct thorough investigations to determine coverage, liability, and damages.
• Obtain and evaluate police reports, witness statements, medical documentation, photographs, recorded or written statements, accident reconstruction information, and other relevant evidence.
• Communicate with customers, claimants, attorneys, medical providers, employers, experts, and other involved parties.
• Evaluate bodily injury claims and develop fair, accurate, and timely settlement strategies.
• Negotiate settlements through telephone and in-person discussions, settlement conferences, mediations, and arbitrations.
• Manage claims involving litigation and/or arbitration, partnering with attorneys and experts when appropriate.
• Identify opportunities for subrogation and potential additional responsible parties.
• Investigate damages that may be excessive, unrelated, or require additional review.
• Prepare clear and comprehensive claim evaluations, action plans, and documentation addressing coverage, liability, damages, and resolution strategy.
• Draft technical correspondence, including Reservation of Rights and Disclaimer letters, responses to Insurance Department complaints and 93A/176D demand letters, litigation documents, arbitration briefs, and other claim-related correspondence.
• Maintain an organized and proactive pending while meeting established productivity, diary, and claim closure expectations.
• Ensure payments and required communications are completed accurately and within established timeframes.
• Maintain confidentiality and exercise sound business judgment throughout the claims process.

Deliver an Exceptional Customer Experience

Our customers depend on us during situations that can be stressful and uncertain. In this role, you will:

• Provide timely, professional, clear, and empathetic communication.
• Make prompt coverage and liability determinations following a thorough investigation.
• Respond quickly to customer and claimant needs and maintain consistent communication throughout the life of the claim.
• Demonstrate strong telephone customer service skills and empathy when handling sensitive or difficult situations.
• Work collaboratively with your team while taking initiative and ownership of your assigned claims.
• Maintain proficiency with claims operational systems and required documentation.

Bring Your Technical Expertise

Successful candidates will be comfortable applying their knowledge of insurance policies and casualty claims practices to complex situations. You will:

• Analyze coverage, liability, damages, policy endorsements, exclusions, benefits, statutes, and relevant case decisions.
• Manage moderate and high-severity Bodily Injury Liability and UM/UIM claims within assigned authority.
• Develop and maintain detailed claim evaluations and strategies for resolution.
• Utilize experts when appropriate to evaluate damages and support effective cost containment.
• Represent the company in arbitrations, mediations, settlement conferences, and other claim-related proceedings.

Be a Leader and Team Player

Your experience can make an impact beyond your own caseload. You may also:

• Serve as a peer trainer or resource for less experienced adjusters and new team members.
• Support the professional development of other claims personnel.
• Identify opportunities to improve workflows, systems, and the overall delivery of claim service.
• Participate in committees, projects, and other departmental initiatives.
• Demonstrate professionalism, accountability, dependability, and a commitment to company standards.

What You’ll Bring

• At least 3 years of claims adjusting experience required.
• Bachelor’s degree or professional-level knowledge in a specialized field, or equivalent related experience.
• Associate degree or equivalent education combined with approximately 4 to 6 years of related experience may also be considered.
• Insurance industry education is strongly preferred.
• Experience handling Bodily Injury and/or Uninsured/Underinsured Motorist claims is highly desirable.
• Strong knowledge of Personal and Commercial Auto policies.
• Excellent written, verbal, negotiation, and customer service skills.
• Ability to communicate professionally and empathetically with customers, claimants, attorneys, and medical providers.
• Strong organizational skills with the ability to prioritize and manage a high-volume caseload in a fast-paced environment.
• Strong analytical, mathematical, business, and decision-making skills.
• Ability to learn new responsibilities quickly and work effectively both independently and as part of a team.
• Comfortable using claims systems and standard PC applications.
• Ability to maintain a high degree of confidentiality.
• Completion of the Casualty Claims training program is required.

Why This Role?

This position is a great opportunity for an experienced casualty adjuster who wants to expand their technical expertise, handle more complex claims, strengthen their negotiation and litigation management skills, and serve as a trusted resource within the claims organization.

If you’re a confident claims professional who combines strong technical knowledge with empathy, sound judgment, and a commitment to excellent customer service, we’d love to hear from you.

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: $58,800 - $83,700 (exempt)

Benefits Highlights:

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, Liability, Adjuster, Call Center, Claims, Legal, Insurance, Customer Service