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MSIG USA

Commercial P&C insurance and risk management

Casualty Claims Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A bachelor's degree or equivalent experience is required; a J.D. is a plus.
  • Generally, seven 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.
  • Maintain applicable adjuster licenses and complete 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.

Responsibilities

  • Investigate, evaluate, and manage 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 each claim.
  • Deliver responsive, professional claim service to insureds, claimants, brokers, and business partners.
  • Maintain proactive communication throughout the life of claims 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.
  • 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.
  • 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.

Desired Qualifications

  • A J.D. is a plus.
  • AIC, SCLA, CPCU, or other relevant insurance designations are preferred.

About the Company

MSIG USA

Commercial P&C insurance and risk management

MSIG USA provides commercial property and casualty insurance to U.S.-based and multinational businesses, with tailored coverage across property, casualty, marine, and financial lines (including D&O and cyber). It writes standard policies and specialized programs, and has recently established MSIG Specialty Insurance America to underwrite non-admitted business. A core part of its model is risk engineering, loss prevention, and in-house claims management (handling over 90% of claims directly) to deliver efficient service. The company differentiates itself through the backing of the MS&AD Insurance Group (a financially strong parent), a history of large-scale P&C capacity, and a focus on customized solutions for complex exposures. Its goal is to help organizations manage sophisticated risks across all 50 states, including multinational clients, by offering comprehensive coverage and proactive risk management.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
Not listed

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