Senior 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 Senior 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 highly 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.

• Juris Doctor (J.D.) preferred.

• Generally, seven to ten years 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%.

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.

Invest in Your Future With Us

Each employee plays an important role which contributes directly to the success and continued growth of MSIG.

About Us

MSIG Holdings (U.S.A.), Inc. (MSIG) is a wholly owned subsidiary of the MS & AD Insurance Group Holdings, Inc. – one of the top ten property-casualty insurance groups world-wide. Our Group has capital in excess of $25 Billion, operations in more than 40 countries and nearly 40,000 personnel located globally.

MSIG in the U.S. is comprised of three insurance companies with licenses in all fifty states as well as Puerto Rico and the District of Columbia. These companies and five other subsidiaries, deliver state of the art risk financing programs, insurance products, risk engineering and claims management services that enable our clients to effectively and efficiently manage their risks. Our insurance companies share the A.M Best’s A+ XV Rating and Standard & Poor’s A+ Rating of our Japan-based parent.

Our clientele runs the gamut from small and mid-sized, sole-proprietorships, partnerships and corporations, up to some of the largest and most sophisticated multinational corporations operating in the U.S. and globally.

The vast majority of clients seek our support related to Commercial Lines insurance products including Commercial Property and Liability Insurance products. However, through our subsidiary – Seven Hills Insurance Agency, LLC. – we are able to provide Personal Lines Insurance products including homeowners, renters, automobile, etc.

Specialties:

All Risk Property, Commercial Liability, Automobile, Workers Compensation, Management Liability, Marine, Excess & Umbrella, Claims Management, Risk Engineering services, etc.