Casualty Claim Specialist

Hybrid or Remote•Hastings, MI

2d•Hybrid

About The Position

The Casualty Claim Specialist investigates, evaluates, and resolves moderate to complex commercial casualty claims in accordance with company policies, contractual obligations, and legal requirements. This role is responsible for timely, accurate claim handling, effective communication with stakeholders, appropriate reserving, and equitable claim resolution. The position also serves as a technical resource and may support training, projects, or mentoring within the casualty claims organization.

Requirements

Bachelor’s degree preferred. Formal insurance education or equivalent claim experience may be considered.
Minimum of ten years of progressive claims experience, with at least five years handling complex casualty or commercial claims.
At least three years of experience managing litigated claim files.
Professional designations such as Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU), or active pursuit of a designation.
Strong verbal and written communication skills, including experience presenting or facilitating training.
Demonstrated ability to manage multiple priorities in a results-focused environment.
Proven commitment to delivering excellent customer service to agents, policyholders, and internal and external partners.
High level of self-motivation with the ability to work independently and exercise sound judgment.
Ability to exemplify Hastings’ behavior standards and comply with ethical and professional guidelines.

Responsibilities

Review, investigate, evaluate, and resolve assigned open and closed commercial casualty claims to achieve equitable resolutions within contractual and legal liability.
Facilitate the casualty claim process through timely, professional communication with policyholders, agents, attorneys, vendors, and internal partners.
Utilize Hastings’ claims and estimating systems, including Guidewire ClaimCenter, and other approved technologies to perform job duties.
Review and apply coverage appropriately and provide guidance to others regarding coverage, exposure, reserves, settlement values, and claim strategy when appropriate.
Establish, maintain, and adjust case reserves in a timely manner to accurately reflect claim exposure through settlement, litigation, or arbitration.
Identify, pursue, and coordinate salvage and subrogation opportunities to minimize claim losses.
Utilize approved loss and expense savings programs and direct outside vendors to ensure cost-effective claim handling.
Identify potential fraud and refer matters to appropriate internal or external investigative resources.
Coordinate claim information with Loss Control, Underwriting, Marketing, and other departments to support current claim handling and future loss prevention.
Investigate construction accidents and other serious losses, including those involving significant injuries or litigation.
Document claim files accurately, thoroughly, and consistently to support claim disposition and minimize errors or improper payments.
Participate in special projects, committees, or assignments as directed and serve as a technical resource or trainer for other adjusters when needed.