Role Description The Sr Consultant Casualty Claims is responsible for managing moderate to complex and high-value casualty claims with minimal supervision. This role requires advanced investigative and negotiation skills to effectively resolve disputes and handle escalated situations. The Consultant works closely with internal and external experts, including legal counsel and technical specialists, to ensure thorough claim evaluation and resolution. Key responsibilities include: - Independently manage moderate to complex, high-value casualty claims, ensuring thorough analysis and resolution. - Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. Escalate issues as needed. - Identify opportunities to transfer risk and pursue subrogation. - Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management. - Ensure all claims activities comply with regulatory and company standards. - Maintain accurate, detailed records and prepare comprehensive reports. - Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. - Set reserves, authorize payments, and make financial decisions within authority. - Demonstrate strong financial acumen and contribute to reserving accuracy and efficiency. - Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents. - Lead cross-functional meetings and communicate complex information clearly to diverse audiences. - Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. - Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII). - Serve as a mentor to junior claim handlers, providing guidance on complex claims, compliance, and litigation processes. - Support training initiatives and contribute to the development of best practices and educational materials. - Deliver empathetic, clear communication throughout the claims process. - Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience. - Attend industry events and continuing education seminars to stay current with best practices, legal developments, and emerging trends. Qualifications - Bachelor’s degree preferred, or a combination of education and equivalent experience. - Typically requires 5–10 years of claims handling experience. - Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits. - Skilled in negotiating complex claims and developing strategies to influence outcomes. - Demonstrates sound judgment and decision-making on high-exposure cases, including litigation and compliance matters. - Communicates clearly and effectively in both verbal and written formats across a variety of situations. - Maintains comprehensive and organized claim records and prepares detailed reports summarizing findings and recommendations. - Highly organized with the ability to manage complex workflows and participate in project work. - Demonstrates strong time management and desk management skills, and mentors others in these areas. - Makes informed decisions based on thorough analysis of complex issues. - Highly skilled in investigating complex cases and collaborating with internal and external experts. - Possesses in-depth understanding of the regulatory environment and jurisdictional requirements. - Provides exceptional, empathetic customer service. - Ability to use a personal computer and other standard office equipment. - Ability to sit and/or stand for extended periods. - Required to work on-site as needed. - Ability to travel as necessary. - Ability to work in a fast paced, changing or stressful environment. - Ability to perform work in a noisy/loud work environment. - May be required to have and maintain sufficient home-based internet connection. Benefits - Medical, dental, vision, life, and disability insurance - 401K with a company match - Tuition reimbursement - PTO - Company paid holidays - Flexible work arrangements - Cultural Awareness Day in support of IDE - On-site medical/wellness center (Worcester only) Career Development It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop.