Senior Casualty Examiner

MMG Insurance

1d•Remote

About The Position

The Senior Casualty Examiner is responsible for the investigation, evaluation, reserving, negotiation, and resolution of high‑exposure, high‑severity, and complex casualty claims, including large loss matters. This role requires advanced technical expertise, sound judgment, and strong communication skills. The Senior Casualty Examiner independently manages litigated and non‑litigated claims, identifies and addresses coverage issues, partners with defense counsel and external vendors, and supports the development of other claims professionals through collaboration and informal mentoring. Prior litigation experience and commercial claims handling, including construction defect claims, is preferred. Familiarity with claims handling in VA, PA, VT, ME, and NH is also preferred.

Requirements

Bachelor’s degree and 8–10 years of casualty claims experience, or an equivalent combination of education and experience.
Demonstrated experience handling high‑exposure, high‑severity, and large loss casualty claims, including complex injury and litigated matters.
Advanced knowledge of casualty coverages, policy interpretation, and reserving practices, with the ability to evaluate claims involving significant financial impact.
Proven ability to independently manage litigated files, including working with defense counsel, evaluating risk, and developing resolution strategies.
Strong negotiation skills and the ability to clearly articulate and defend claim decisions in adversarial situations.
Excellent written and verbal communication skills, including the ability to draft clear, professional coverage correspondence.
Proven ability to manage complex workloads independently while meeting deadlines and service expectations.
Demonstrated professionalism, sound judgment, and the ability to remain calm and effective under pressure.
Strong organizational skills and attention to detail.
Ability to work collaboratively with internal partners and external vendors.
Valid driver’s license and ability to travel up to approximately 25%, as business needs require.

Nice To Haves

Prior litigation experience and commercial claims handling, including construction defect claims.
Familiarity with claims handling in VA, PA, VT, ME, and NH is also preferred.

Responsibilities

Investigate, evaluate, reserve, negotiate, and resolve high‑exposure and complex casualty claims in accordance with company guidelines and best practices.
Identify coverage issues and draft reservation of rights or denial letters, as appropriate.
Conduct thorough investigations, including obtaining recorded statements, reviewing police and medical records, and evaluating liability and damages.
Establish and maintain appropriate reserves supported by timely documentation and ongoing claim evaluation.
Manage litigated files in partnership with defense counsel, including strategy development, discovery oversight, and evaluation of settlement opportunities.
Prepare cases for and represent MMG at mediations, arbitrations, and other alternative dispute resolution proceedings.
Direct and manage independent adjusters, investigators, appraisers, experts, and other external vendors as needed.
Communicate clearly and professionally with insureds, claimants, attorneys, agents, medical providers, and internal business partners.
Identify subrogation opportunities and prepare files for recovery.
Develop and maintain positive working relationships with agents, independent adjusting firms, attorneys, and vendors.
Travel as required to perform essential job functions, attend meetings, training, or educational opportunities.
Perform other duties as assigned.