Senior Casualty Claims Adjuster (N&D)
Norfolk & Dedham Insurance, Dedham, Massachusetts, us, 02026
Responsibilities
Manage a complex casualty claims caseload, including bodily injury, general liability, and multi-party losses. Conduct thorough investigations, including recorded statements, liability analysis, damage evaluation, and coverage determination. Identify and evaluate exposure, negligence, comparative fault, and causation issues. Establish and maintain accurate, timely reserves consistent with company guidelines and actuarial expectations. Manage litigated claims from inception through resolution, including selection, direction, and oversight of defense counsel. Develop and execute litigation strategies in collaboration with defense counsel to control costs and achieve favorable outcomes. Review discovery, expert reports, and evaluations; attend mediations, arbitrations, and settlement conferences as required. Evaluate settlement opportunities and negotiate resolutions within assigned authority or present recommendations for higher authority. Analyze policy language and endorsements to determine coverage applicability and exposure. Issue reservation of rights and coverage position letters in accordance with regulatory and company standards. Ensure compliance with all applicable state regulations, DOI requirements, and internal best practices. Control indemnity and expense spend through proactive claim strategy and effective vendor oversight. Approve and monitor legal invoices, expert fees, and vendor costs to ensure reasonableness and adherence to guidelines. Serve as a primary point of contact for insureds, claimants, agents, and attorneys on complex claims. Communicate clearly and professionally regarding claim status, strategy, and resolution. Document all claim activity accurately and thoroughly within the claims management system. Qualifications And Skills
7+ years of casualty claims handling experience, including complex bodily injury and litigated claims. Strong working knowledge of liability laws, negligence standards, and insurance coverage principles. Demonstrated experience managing defense counsel and complex litigation. Proven negotiation skills with a track record of effective claim resolution. Ability to work independently, prioritize workload, and make sound decisions within authority. Proficiency with claims management systems and standard office software.
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Manage a complex casualty claims caseload, including bodily injury, general liability, and multi-party losses. Conduct thorough investigations, including recorded statements, liability analysis, damage evaluation, and coverage determination. Identify and evaluate exposure, negligence, comparative fault, and causation issues. Establish and maintain accurate, timely reserves consistent with company guidelines and actuarial expectations. Manage litigated claims from inception through resolution, including selection, direction, and oversight of defense counsel. Develop and execute litigation strategies in collaboration with defense counsel to control costs and achieve favorable outcomes. Review discovery, expert reports, and evaluations; attend mediations, arbitrations, and settlement conferences as required. Evaluate settlement opportunities and negotiate resolutions within assigned authority or present recommendations for higher authority. Analyze policy language and endorsements to determine coverage applicability and exposure. Issue reservation of rights and coverage position letters in accordance with regulatory and company standards. Ensure compliance with all applicable state regulations, DOI requirements, and internal best practices. Control indemnity and expense spend through proactive claim strategy and effective vendor oversight. Approve and monitor legal invoices, expert fees, and vendor costs to ensure reasonableness and adherence to guidelines. Serve as a primary point of contact for insureds, claimants, agents, and attorneys on complex claims. Communicate clearly and professionally regarding claim status, strategy, and resolution. Document all claim activity accurately and thoroughly within the claims management system. Qualifications And Skills
7+ years of casualty claims handling experience, including complex bodily injury and litigated claims. Strong working knowledge of liability laws, negligence standards, and insurance coverage principles. Demonstrated experience managing defense counsel and complex litigation. Proven negotiation skills with a track record of effective claim resolution. Ability to work independently, prioritize workload, and make sound decisions within authority. Proficiency with claims management systems and standard office software.
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