Casualty Analyst – Specialty Claims

Job Summary

Seeking a highly skilled and motivated Casualty Analyst – Specialty Claims to join a dedicated team. This role focuses on providing high-level technical expertise in the handling of complex commercial umbrella, excess liability, and multi-party catastrophic injury claims. The ideal candidate will have a strong background in managing high-exposure liability claims and a commitment to achieving optimal outcomes for both the company and its policyholders.

Compensation Package

• Salary Range: $85,000 - $115,000 annually + annual bonus opportunities based on company and individual performance
• Competitive benefits package, paid time off, professional development opportunities, etc.

Responsibilities

• Build and maintain strong relationships with internal staff, policyholders, attorneys, agents, and service providers to achieve optimal claim outcomes.
• Provide high-level technical expertise in managing complex and high-exposure liability and extra-contractual claims.
• Handle a portfolio of complex claims, including commercial umbrella, excess liability, and multi-party catastrophic injury claims.
• Stay updated on case law developments, statutory, and regulatory changes impacting liability claims or coverage interpretation.
• Serve as a training and information resource for casualty and litigation claim representatives and claim management.
• Oversee all claim-handling activities, including investigation, litigation management, evaluation, settlement negotiations, and risk transfer guidance.
• Prepare and present claims to the Large Loss Committee and ensure proper reinsurance reporting and communication.

Qualifications/Requirements

• Minimum of 5+ years of experience handling complex claims.
• Bachelor’s degree or equivalent work experience.
• Strong technical expertise in liability claims and coverage interpretation.
• Excellent communication and relationship-building skills.
• Ability to work effectively in a hybrid work environment, with 8 in-office days per month.

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Technical Claims Director, Property & Casualty

Job Summary

Seeking a highly skilled and experienced Technical Claims Director, Property & Casualty to join a growing Claims Compliance and Quality Assurance team. This is a critical role for an accomplished insurance claims compliance professional or attorney with deep knowledge of insurance claims regulations, processes, and technology. You will play a pivotal role in safeguarding the organization from regulatory risks, ensuring compliance, and driving continuous improvement in claims handling practices.

Compensation Package

• Salary Range: $130,000 - $180,000 per year (based on experience and qualifications).
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

As the Technical Claims Director, you will:

• Manage and maintain a 50-state claims database.
• Monitor legislation, DOI bulletins, court decisions, and statutory changes; manage backlog and implement targeted compliance training.
• Develop and oversee controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols.
• Collaborate with Claims Technical, Legal, and IT teams to design controls and workflows aligned with regulatory requirements.
• Lead responses to regulatory inquiries and complaints.
• Deliver training and provide legal support to internal teams and vendors.
• Develop audit programs and dashboards to monitor compliance effectiveness.
• Oversee and support technology-related compliance integrations.
• Provide executive reporting, trends analysis, and regulatory insights.

Qualifications/Requirements

• 10+ years of experience in claims compliance, insurance regulation, or legal operations.
• A degree in law, risk management, or a related field is required; J.D. is highly preferred.
• Advanced insurance compliance certifications (e.g., CPCU, CIPP, CAMS, CRCM) are a plus.
• Strong understanding of claims handling regulations, Medicare protocols, and market conduct standards.
• Experience managing compliance in a 50-state claims environment across multiple lines of business.
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
• Strong research and policy writing skills.
• Excellent collaboration, project management, and problem-solving abilities.
• Experience with regulatory audit preparation and response.

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