Casualty Claims Specialist

MSIG USA continues to grow!

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.

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 and Experience To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

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

#LI-HYBRID #LI-REMOTE

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.