Claim Consultant, Casualty (Hybrid or Remote)

MAPFRE•Webster, MA

11d•Hybrid

About The Position

This role is ideal for a highly skilled claims professional looking to work with significant independence while handling high‑exposure, complex, and litigated claims across multiple lines of coverage — including Personal/Commercial, Homeowner Liability, Environmental, Life, and OTA losses (including GL). You’ll manage the entire lifecycle of the claim: from coverage analysis and investigation through evaluation, negotiation, litigation management, and resolution. You’ll work closely with defense counsel, participate in high‑stakes discussions, and contribute to the professional development of peers.

Requirements

Bachelor's Degree plus a certificate such as INS 21, 22, 23 (or equivalent), ORAssociate's Degree plus 6–8 years related experience.
Minimum 5 years of technical claims experience, including bodily injury and litigation handling.
Mastery of multiple lines of business and working knowledge of multi‑state policies.
Strong organizational, analytical, negotiation, and decision‑making skills.
Ability to obtain and maintain required adjusting licenses in multiple jurisdictions.

Nice To Haves

Certificates such as SCLA, AIC, CPCU, or equivalent are highly valued.
Experience with multi‑state losses; environmental or SIU experience is a plus.
Paralegal or law degree is a plus.

Responsibilities

Independently adjust high‑exposure, complex casualty losses within granted authority.
Handle all assigned suits and manage litigation strategy.
Conduct multi‑jurisdictional coverage analysis and apply policy endorsements, exclusions, limitations, and relevant statutes.
Participate in Large Loss Committee reviews and present case evaluations.
Conduct comprehensive investigations including recorded statements, site analysis, accident reconstruction, dram shop investigations, and witness canvassing.
Utilize IMEs, expert reviews, financial records, surveillance, vocational/economic experts, and other resources as needed.
Determine liability and proactively develop damage information.
Evaluate wage loss and other claims with appropriate investigative techniques.
Initiate timely and accurate reserve adjustments aligned with corporate philosophy.
Deliver timely, professional, empathetic communication to customers.
Meet all customer service standards and mandated deadlines.
Prepare insureds and witnesses for depositions and trials.
Collaborate actively with defense counsel and all stakeholders.
Maintain proficiency in multi‑state policies, case law, coverage analyses, and claims procedures.
Use internal and external research tools to adjust claims across various jurisdictions.
Prepare detailed written evaluations outlining coverage, liability, damages, legal considerations, and settlement strategy.
Achieve settlement through negotiation, conferences, arbitration, and mediation.
Aggressively manage litigation, direct discovery activities, and ensure counsel complies with reporting and strategy.
Attend trials, depositions, arbitrations, and mediations as needed.
Obtain and maintain out‑of‑state adjusting licenses where required.
Serve as a mentor/resource to less experienced adjusters and contribute to their development.
Participate in formal peer training and departmental initiatives.
Represent the company in arbitration and court‑mandated appearances.
Identify workflow improvements and support committees or project teams.
Demonstrate professionalism, accountability, and commitment to continuous learning.
Stay current with legal and industry developments impacting claims handling.