Senior Claims Representative

MSIG USA continues to grow! 

Company Overview:

MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.

Summary/Job Purpose:

This position is responsible to conduct thorough investigations and evaluate and negotiate complex claims including litigation and coverage issues. Accountable to ensure compliance with MSIG USA Claim Handling Guidelines, including reserving and payment practices, regulatory requirements and Fair Claims Practices Acts. 

Essential Functions:

• Investigates, researches and analyzes highly complex or severe claims, including coverage issues and legal issues affecting liability and damages.  

• Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority.

• Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policy and procedures.

• Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required

• Assigns the defense of lawsuits to approved defense counsel; directs and monitors quality and performance of defense counsel.  Maintains compliance with all requirements of the company’s Litigation Management Program. Reviews and adjusts, where appropriate, fee bills and legal expenses for accuracy and reasonableness. 

• Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy a