Senior Casualty Examiner

Job not on LinkedIn

🔥 2 hours ago

🐊 Florida, Maine, +8 more states – Remote

🐊 Florida – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🍂 Massachusetts – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟠 Senior

✨ Examiner

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MMG

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2009

🎯 Recruiter

🏗️ Construction

🏥 Healthcare

Recruitment • Construction • Healthcare

MMG is a recruiting and executive search firm (branded in the footer as Mountain Management Group) that specializes in placing mid- to senior-level talent across Construction, Healthcare, and Environmental sectors. The firm emphasizes a tailored, client-specific search process, leveraging a national network to fill Manager, Director and Executive-level roles. MMG operates both retained and contingent searches and highlights successful placements such as Nurse Manager, Director, Vice President, CNO and COO for healthcare organizations, as well as construction hires in multifamily construction and environmental roles from field staff to corporate management.

📋 Description

• Investigate, evaluate, reserve, negotiate, and resolve high‑exposure and complex casualty claims in accordance with company guidelines and best practices. • Identify coverage issues and draft reservation of rights or denial letters, as appropriate. • Conduct thorough investigations, including obtaining recorded statements, reviewing police and medical records, and evaluating liability and damages. • Establish and maintain appropriate reserves supported by timely documentation and ongoing claim evaluation. • Manage litigated files in partnership with defense counsel, including strategy development, discovery oversight, and evaluation of settlement opportunities. • Prepare cases for and represent MMG at mediations, arbitrations, and other alternative dispute resolution proceedings. • Direct and manage independent adjusters, investigators, appraisers, experts, and other external vendors as needed. • Communicate clearly and professionally with insureds, claimants, attorneys, agents, medical providers, and internal business partners. • Identify subrogation opportunities and prepare files for recovery. • Develop and maintain positive working relationships with agents, independent adjusting firms, attorneys, and vendors. • Travel as required to perform essential job functions, attend meetings, training, or educational opportunities. • Perform other duties as assigned.

🎯 Requirements

• Bachelor’s degree and 8–10 years of casualty claims experience, or an equivalent combination of education and experience. • Demonstrated experience handling high‑exposure, high‑severity, and large loss casualty claims, including complex injury and litigated matters. • Advanced knowledge of casualty coverages, policy interpretation, and reserving practices, with the ability to evaluate claims involving significant financial impact. • Proven ability to independently manage litigated files, including working with defense counsel, evaluating risk, and developing resolution strategies. • Strong negotiation skills and the ability to clearly articulate and defend claim decisions in adversarial situations. • Excellent written and verbal communication skills, including the ability to draft clear, professional coverage correspondence. • Proven ability to manage complex workloads independently while meeting deadlines and service expectations. • Demonstrated professionalism, sound judgment, and the ability to remain calm and effective under pressure. • Strong organizational skills and attention to detail. • Ability to work collaboratively with internal partners and external vendors. • Valid driver’s license and ability to travel up to approximately 25%, as business needs require.