Senior Claims Resolution Specialist - Complex Casualty Southwest Region

Deliver Impact That Matters. Your judgment plays a key role in shaping outcomes. You'll influence decisions on some of our most significant claims, backed by leaders who respect your experience. Flexibility Meets Purpose This role is remote or hybrid depending on location, with only a modest two days a month expectation if you live near a hub. You'll Keep Growing From advanced technical training to mentorship opportunities, we're dedicated to helping you expand your impact. 5+ years managing complex and litigated casualty claims Deep expertise handling severe to catastrophic injuries and fatalities Strong analytical thinking, negotiation skills, and sound judgment Ability to thrive in a fast‑paced, high‑stakes environment Professionalism, empathy, and exceptional communication skills California and Arizona Casualty claims handling Must have an advanced knowledge of coverage, liability, and complex claims handling procedures. Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. A full working knowledge of claims operations and procedures is required. Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience. Ability to obtain proper licensing as required. Manage the investigation, evaluation, and resolution of complex auto and homeowner's casualty claims. Assess coverage, liability, and damages; recommend settlement strategies and escalate appropriately for authority review. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Collaborate closely with trial counsel; attend mediations, arbitrations, trials, hearings, and conferences. Prepare detailed litigation and trial reports for local management and Home Office. Communicate effectively with policyholders, witnesses, attorneys, and claimants to gather information and provide guidance. Responds to various written and telephone inquiries including status reports. Maintain accurate reserves, recommending increases on cases in excess of authority. Safeguard financial and confidential information across all claim files. Oversee billing practices of outside and in‑house counsel to ensure compliance and cost efficiency. May assist as a resource to the team, stepping in for the Claims Team Manager when needed or mentoring colleagues; or representing the company on matters involving state or federal regulatory agencies. Participate in special projects at the direction of leadership.

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