[Hiring] Senior Casualty Examiner @MMG Insurance

Role Description

This role offers flexibility and may be based remotely or in one of MMG's regional offices, depending on the candidate and business needs. Open to candidates who live/can work full time in Maine, Massachusetts, Pennsylvania, New Hampshire, Virginia, Vermont, South Carolina, Florida, and Missouri.

The Senior Casualty Examiner is responsible for the investigation, evaluation, reserving, negotiation, and resolution of high-exposure, high-severity, and complex casualty claims, including large loss matters. This role requires advanced technical expertise, sound judgment, and strong communication skills.

The Senior Casualty Examiner independently manages litigated and non-litigated claims, identifies and addresses coverage issues, partners with defense counsel and external vendors, and supports the development of other claims professionals through collaboration and informal mentoring.

What You’ll Do:

• 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.

Qualifications

• 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.

Benefits

• Up to 7% employer contributions into a 401(k) retirement plan
• Short-Term Incentive Bonus Plan
• Comprehensive medical, dental, and vision insurance
• Generous paid time off and company holidays
• Tuition assistance and professional development opportunities
• Community involvement opportunities supported by MMG's commitment to giving back

Company Description

MMG Insurance is an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all qualified applicants and employees are treated with respect and dignity. Employment decisions are based on business needs, job requirements, and individual qualifications without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, military service, or any other status protected by applicable federal, state, or local law. MMG Insurance is committed to providing reasonable accommodation to qualified individuals with disabilities and to applicants throughout the recruitment process.