Claim Consultant, Casualty (Hybrid or Remote) jobs in United States
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MAPFRE · 5 days ago

Claim Consultant, Casualty (Hybrid or Remote)

MAPFRE is seeking a highly skilled Claim Consultant to manage high-exposure, complex, and litigated claims across multiple lines of coverage. The role involves the entire lifecycle of claim management, including coverage analysis, investigation, negotiation, and litigation management, while providing customer-focused communication and mentoring less experienced adjusters.

InsuranceLife InsuranceProperty Insurance

Responsibilities

Independently adjust high-exposure, complex casualty losses within granted authority
Handle all assigned suits and manage litigation strategy
Conduct multi-jurisdictional coverage analysis and apply policy endorsements, exclusions, limitations, and relevant statutes
Participate in Large Loss Committee reviews and present case evaluations
Conduct comprehensive investigations including recorded statements, site analysis, accident reconstruction, dram shop investigations, and witness canvassing
Utilize IMEs, expert reviews, financial records, surveillance, vocational/economic experts, and other resources as needed
Determine liability and proactively develop damage information
Evaluate wage loss and other claims with appropriate investigative techniques
Initiate timely and accurate reserve adjustments aligned with corporate philosophy
Deliver timely, professional, empathetic communication to customers
Meet all customer service standards and mandated deadlines
Prepare insureds and witnesses for depositions and trials
Collaborate actively with defense counsel and all stakeholders
Maintain proficiency in multi-state policies, case law, coverage analyses, and claims procedures
Use internal and external research tools to adjust claims across various jurisdictions
Prepare detailed written evaluations outlining coverage, liability, damages, legal considerations, and settlement strategy
Achieve settlement through negotiation, conferences, arbitration, and mediation
Aggressively manage litigation, direct discovery activities, and ensure counsel complies with reporting and strategy
Attend trials, depositions, arbitrations, and mediations as needed
Obtain and maintain out-of-state adjusting licenses where required
Serve as a mentor/resource to less experienced adjusters and contribute to their development
Participate in formal peer training and departmental initiatives
Represent the company in arbitration and court-mandated appearances
Identify workflow improvements and support committees or project teams
Demonstrate professionalism, accountability, and commitment to continuous learning
Stay current with legal and industry developments impacting claims handling

Qualification

Claims ManagementLitigation ManagementCoverage AnalysisTechnical Claims ExperienceMulti-State PoliciesNegotiation SkillsCustomer CommunicationAnalytical SkillsProfessionalismAccountabilityOrganizational SkillsDecision-Making SkillsMentoring SkillsContinuous LearningCollaboration

Required

Bachelor's Degree plus a certificate such as INS 21, 22, 23 (or equivalent), OR Associate's Degree plus 6–8 years related experience
Minimum 5 years of technical claims experience, including bodily injury and litigation handling
Mastery of multiple lines of business and working knowledge of multi‑state policies
Strong organizational, analytical, negotiation, and decision‑making skills
Ability to obtain and maintain required adjusting licenses in multiple jurisdictions

Preferred

Certificates such as SCLA, AIC, CPCU, or equivalent are highly valued
Experience with multi‑state losses; environmental or SIU experience is a plus
Paralegal or law degree is a plus

Company

MAPFRE a global insurance company.

Funding

Current Stage
Public Company
Total Funding
$1.16B
2026-01-14Post Ipo Debt· $1.16B
2022-03-09Acquired
2000-01-07IPO

Leadership Team

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Dan Olohan
Chief Operations Officer
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Jaime Tamayo
CEO INTERNACIONAL
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Company data provided by crunchbase