Senior Casualty Claims Representative

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are key reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s. We value our employees, customers, and communities, promoting an inclusive environment that encourages continuous learning and growth.

Responsibilities

• Investigate, evaluate, and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements.
• Perform timely and thorough investigations to ensure accurate decisions on coverage, compensability, liability, and damage issues affecting claim resolutions.
• Effectively negotiate with insureds, third-parties, and claimants using an objective approach to resolve claims fairly.
• Control file-related expenses through efficient utilization and monitoring of "outside" vendors.
• Inform other departments of conditions noted during investigations that may impact company results.
• Manage existing workloads to achieve quality and quantity production goals while providing superior customer service.
• Participate in special account reviews and present agents and insureds with recommendations for improving their loss ratio and best practices.
• Increase complexity and proficiency in handling coverage and/or compensability disputes, contractual risk transfer, liability/subrogation investigations, negotiations, and strategic resolution practices.
• Engage appropriately with agents and insureds in complex discussions and lead synergy meetings.
• Demonstrate increased proficiency with systems and workflows, actively engage in roundtable discussions, and participate in on-site investigations.
• Understand litigation competencies and assist in the training and development of claim personnel as needed.
• Handle complex cases involving coverage, compensability, legal liability, and damages, utilizing experts and outside firms as required.
• Work closely with underwriting to develop and interpret policy language and assist in analysis and recommendations on loss-sensitive and special accounts.
• Serve as team leader or mentor in training and developing less experienced staff and provide input in roundtable discussions.
• Attend settlement conferences, trials, and mediations on a regular basis.
• Demonstrate professionalism and promote Acadia's values as a Trusted Advisor internally and externally.
• Exhibit a strong understanding of the business of insurance outside of the claims discipline.
• Handle the most complex claims independently, not requiring major case unit/specialty handling.
• Mentor staff and provide direction for claims handling strategies within their authority.
• Exhibit initiative, a team-minded attitude, and proactively anticipate areas of concern.

Requirements

• Bachelor's degree (B.A.) and minimum of 5-7 years of related experience and/or training; or equivalent combination of education and experience.
• Minimum of 5-7 years of progressive property & casualty and/or workers' compensation claims handling experience, including complex liability and coverage investigations.
• Demonstrated expertise in investigating, analyzing, and resolving complex claims involving coverage disputes, compensability issues, legal liability, bodily injury, property damage, and workers' compensation exposures.
• Strong knowledge of insurance policies, contract interpretation, contractual risk transfer, subrogation, litigation management, and claim resolution strategies.
• Proven ability to negotiate effectively with claimants, attorneys, insureds, agents, and third parties to achieve fair and cost-effective settlements.
• Experience managing litigation, including attending mediations, settlement conferences, arbitrations, and trials, and coordinating with defense counsel and expert witnesses.
• Thorough understanding of insurance regulations, state statutes, claims best practices, and industry standards.
• Ability to evaluate damages, reserves, settlement values, and claim exposures while maintaining authority limits and company guidelines.
• Experience utilizing independent adjusters, investigators, medical providers, attorneys, engineers, and other vendors to support claim investigations and control expenses.
• Strong analytical and critical thinking skills with the ability to make sound decisions on complex and high-exposure claims.
• Demonstrated ability to manage a large and diverse caseload while achieving quality, productivity, and customer service objectives.
• Excellent written and verbal communication skills with the ability to present recommendations and build credibility with insureds, agents, attorneys, and internal business partners.
• Proven ability to collaborate effectively with underwriting, loss control, legal, and other departments to identify trends and improve business outcomes.
• Strong leadership, mentoring, coaching, and training skills with experience supporting the development of less experienced claims professionals.
• Ability to facilitate roundtable discussions, lead claim strategy meetings, and contribute to organizational initiatives and special projects.
• Advanced proficiency with claims management systems, Microsoft Office applications, and other insurance technology platforms.
• Demonstrated ability to work independently, exercise sound judgment, and manage highly complex claims with minimal supervision.
• Strong business acumen with a broad understanding of insurance operations, underwriting principles, loss control practices, and agency relationships.
• Professional designations such as CPCU, AIC, ARM, SCLA preferred.
• Relevant state adjuster license(s) required.
• Proven record of professionalism, integrity, initiative, and commitment to delivering trusted advisor-level service to internal and external stakeholders.
• Ability to identify emerging risks, anticipate issues, and proactively develop claim handling and resolution strategies while fostering a collaborative, team-oriented work environment.

Pay

Base Salary Range: $90,000 – $110,000

Benefits

The company offers a competitive compensation plan and robust benefits package for full-time regular employees.