Casualty Claim Representative - Senior Bodily Injury ...

Are you an experienced claims professional eager to elevate your career? Join the Plymouth Rock team, where your expertise will shine as you manage high-severity First and Third Party Bodily Injury claims in Personal Lines and Commercial settings. In this pivotal role, you will tackle high-exposure, complex cases, directly influencing outcomes for policyholders and the company. Thrive in a collaborative, growth-oriented environment that values your expertise, supports professional development, and offers impactful opportunities to solve challenging problems.Responsibilities:Thorough Investigations: Initiate prompt and detailed contact with insureds, claimants, and witnesses. Conduct comprehensive coverage, liability, and injury investigations, including obtaining recorded statements to resolve claims efficiently.Policy Analysis: Expertly review and interpret complex insurance policies, providing guidance on Excess and Primary coverage issues.Field Operations & Oversight: Direct field investigations and coordinate with outside vendors (Field/Counsel/Surveillance) to ensure high-quality, necessary actions that lead to successful claim outcomes.Reserve Management: Perform timely and accurate reserve analyses based on claim developments to maintain financial oversight.Fraud Prevention: Identify and investigate potential fraudulent claims, working with SIU to mitigate risk.Litigation Support: Collaborate with defense counsel on litigation strategy, actively participate in the discovery process, and develop effective settlement strategies.Strategic Negotiations: Lead merit-based negotiations with injured parties and attorneys to resolve claims favorably for both 1st and 3rd party matters.Subrogation Recovery: Identify and pursue subrogation opportunities to minimize losses.Representation in Legal Proceedings: Represent the company during arbitrations, depositions, settlement conferences, mediations, and trials.Professional Development & Leadership: Stay updated on industry trends by participating in training sessions and contributing to team initiatives and special projects.Qualifications:Educational Background: Bachelor's degree from an accredited institution.Experience: 5-10 years of proven experience managing complex liability claims, including Commercial, Homeowners, UM/UIM, and Excess/Umbrella cases.Expertise: Advanced knowledge of litigation, arbitration, trial procedures, and out-of-state claim handling.Leadership & Analytical Skills: Strong self-motivation and mastery in coverage analysis, investigations, legal matters, negotiations, and subrogation.Effective Communication: Exceptional organizational, problem-solving, and interpersonal skills for managing intricate claim resolutions.Regulatory Knowledge: Comprehensive understanding of state laws, regulatory guidelines, and statutory regulations.claims4 weeks accrued paid time off + 9 paid national holidays per yearTuition ReimbursementLow cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)Robust health and wellness program and fitness reimbursementsAuto and home insurance discountsMatching gift opportunitiesAnnual 401(k) Employer Contribution (up to 7.5% of your base salary)Various Paid Family leave options including Paid Parental LeaveResources to promote Professional Development (LinkedIn Learning and licensure assistance)Convenient location directly across from South Station and Pre-Tax Commuter BenefitsAbout the CompanyThe Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".

Created: 2025-03-06