Casualty Claim Representative - Senior Bodily Injury Specialis

Casualty Claim Representative – Senior Bodily Injury Specialist

Are you an experienced claims professional looking to take your career to the next level? Join the Plymouth Rock team, where you’ll leverage your expertise in handling high-severity First and Third Party Bodily Injury claims within a Personal Lines and Commercial environment. This is a dynamic and critical role for a seasoned professional who thrives on solving complex challenges and delivering exceptional outcomes.

Key Responsibilities:

• Lead Thorough Investigations: Initiate prompt and comprehensive contact with insureds, claimants, and witnesses. Conduct in-depth coverage and liability/injury investigations, including recorded statements to resolve claims effectively.
• Policy Expertise: Review and interpret complex policies, providing expert guidance on Excess and Primary coverage issues.
• Field Investigations & Strategic Oversight: Lead field investigations and direct outside vendors (Field/Counsel/Surveillance). Ensure all investigations are necessary and executed with precision to bring claims to a successful conclusion.
• Expert Reserve Management: Conduct timely reserve analyses based on developments, ensuring proper financial oversight of claims.
• Fraud Detection & Risk Management: Identify and investigate fraudulent claims, and liaise with SIU when necessary to mitigate risk.
• Litigation Strategy: Bring your litigation experience to the forefront by collaborating with defense counsel, participating in the discovery process, and developing settlement strategies throughout litigation.
• High-Stakes Negotiations: Engage in merit-based negotiations with injured parties and their attorneys to achieve optimal outcomes for both 1st and 3rd party claims.
• Subrogation Potential: Recognize and capitalize on subrogation opportunities to mitigate losses.
• Litigation Participation: Represent the company in litigation proceedings, attending arbitrations, depositions, settlement conferences, mediations, and trials.
• Continuous Learning & Leadership: Stay ahead of industry changes by attending internal and external training events, while contributing to proactive team initiatives and special projects.

Qualifications:

• Educational Background: Bachelor’s degree from an accredited institution.
• Experience: 5–10 years of proven experience in handling complex liability claims, including Commercial, Homeowners, UM/UIM, and Excess/Umbrella cases.
• Expert Knowledge: In-depth understanding of litigation, arbitration, trial processes, and out-of-state claim handling.
• Leadership Skills: Strong self-motivation with advanced expertise in coverage, investigations, legal issues, negotiations, and subrogation.
• Communication & Problem-Solving: Exceptional communication, organizational, and problem-solving skills, with the ability to navigate complex claim resolutions.
• Regulatory Adherence: Comprehensive knowledge of State laws, regulatory guidelines, and statutory regulations.

Why Plymouth Rock?

• Leadership Opportunities: Work on high-exposure, complex cases where your expertise will directly influence outcomes.
• Collaborative Environment: Join a supportive team that values your input and encourages professional growth.
• Impactful Work: Play a crucial role in the resolution of complex BI claims, directly affecting the lives of our policyholders and contributing to our company’s success.

About Plymouth Rock

The 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”.