Casualty Claims Specialist

MSIG Holdings•Cincinnati, OH

About The Position

The Casualty Claims Specialist manages and resolves highly complex, high-severity liability claims, including litigated matters and coverage disputes. The role investigates claims, analyzes coverage and liability, evaluates damages and exposure, establishes reserves, and negotiates timely and equitable resolutions in accordance with MSMM Claim Handling Guidelines, regulatory requirements, and Fair Claims Practices Acts. The position protects 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 stakeholders. The specialist manages complex or high-severity General Liability and Excess claims, including coverage analysis, liability determination, damages assessment, and legal issues affecting exposure. Responsibilities include setting and maintaining case reserves; developing claim strategies; managing defense counsel and litigated matters; reviewing legal invoices and expenses; attending mediations, settlement conferences, pretrials, and trials as required; communicating coverage issues; and maintaining accurate claim files and system activity. The role also provides responsive customer and stakeholder service, maintains proactive claim communications, supports client-facing claim reviews and presentations, and builds relationships with internal and external partners. The specialist ensures regulatory and company-guideline compliance, maintains adjuster licenses and continuing education, reports significant claim developments to Home Office and senior stakeholders, and participates in assigned projects and process improvements. Same-day and overnight travel may be required, up to 15%.

Requirements

Bachelor’s degree or equivalent experience.
Generally, seven years of experience handling complex liability claims, including General Liability and Excess claims, high-severity matters, coverage-sensitive matters, and litigated matters.
Demonstrated expertise in coverage analysis, liability and damages evaluation, reserving, litigation management, and claim negotiation.
Must maintain applicable adjuster licenses and continuing education requirements.
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, and ability to learn claim processing and document management systems.
Ability to work independently, prioritize competing demands, and manage complex claims with limited supervision.
Ability to travel same-day and overnight, up to 15%, as required.

Nice To Haves

J.D.
AIC, SCLA, CPCU, or other relevant insurance designations.

Responsibilities

Investigate, evaluate, and manage complex or high-severity General Liability and Excess claims, including coverage, liability, damages, and legal issues affecting exposure.
Establish and maintain appropriate case reserves; resolve claims within authority and recommend reserve or settlement actions for matters exceeding authority.
Develop and execute claim strategies to achieve timely, fair, and equitable resolutions in accordance with company guidelines and jurisdictional requirements.
Manage litigated files, including assigning approved defense counsel, providing strategic direction, monitoring performance and outcomes, and complying with the 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 communicate coverage issues and disputes in accordance with Company coverage guidelines.
Maintain timely and accurate claim documentation, evaluations, reports, and system activity throughout the life of each claim.
Provide responsive, professional claim service to insureds, claimants, brokers, and business partners.
Maintain proactive claim communications and provide appropriate status updates consistent with 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.
Ensure compliance with applicable state and federal regulations, Fair Claims Practices Acts, and 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.
Travel same-day and overnight as required, up to 15%.