Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuster

Description The Claims Specialist works within a Claims Team, using the latest technology to manage a caseload of commercial rideshare, also known as Transportation Network Company (TNC), claims from initial investigation through resolution. The role handles claims involving complex injuries as well as claims involving high policy limits, attorney representation, litigation, uninsured/underinsured motorist coverage, and 3rd-party bodily injury. The Claims Specialist leverages expertise in coverage and liability, reserve analysis, damages assessment, negotiation strategy, and litigation management. This role partners with defense counsel, internal claims partners, and external vendors to ensure claims are managed accurately and efficiently, consistent with policy provisions, regulatory requirements, and company standards. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ. (Please note this policy is subject to change.) Responsibilities: Owns complex commercial rideshare/TNC claims from investigation through resolution, including determining coverage, liability, damages, and appropriate claim outcomes. Reviews commercial policy language, endorsements, exclusions, limits, conditions, and applicable coverage requirements to determine coverage. Investigates complex losses involving significant injuries, attorney representation, litigation, and UM/UIM coverages Evaluates the severity and complexity of injuries to assess medical exposure, future damages, and overall claim value. Establishes, documents, and updates accurate reserves throughout the life of the claim based on severity, exposure, venue, liability, policy limits, litigation status, and evolving facts. Determines amounts owed, evaluates settlement value, negotiates with plaintiff counsel and other parties, and authorizes settlements and payments within assigned authority; recommends or issues denials when appropriate. Manages attorney-represented and litigated claims, including developing resolution strategies and coordinating with defense counsel, Home Office Legal, Claims leadership, and other internal partners. Partners with defense counsel on pleadings, discovery plans, litigation plans, case evaluations, mediation preparation, deposition strategy, trial preparation, and settlement negotiations Reviews pleadings, discovery, depositions, expert reports, medical records, suit documentation, investigation materials, and claim files to determine appropriate actions and litigation strategy. Prepares claims for mediation, deposition, and potential trial by analyzing liability, coverage, damages, documentation, venue considerations, and settlement authority. Performs other duties as assigned, including participation in special projects, training, guidance, and mentorship to staff. Experience handling commercial/Transportation Network Company (TNC) claims and/or larger policies. Experience with high-exposure claims involving severe injury, soft tissue, fractured bones, catastrophic loss, or fatalities. Prior handling of attorney-represented and/or litigated claims in a commercial or specialty lines environment. Experience preparing claims for mediation, deposition, trial, or other litigation milestones. Background in settlement negotiation with attorneys and/or plaintiff counsel and coordination with defense counsel. Experience handling complex policy interpretation and coverage analysis on large commercial accounts. Familiarity with time limit demands, discovery, legal expense management, and litigation strategy. Experience managing high-limit claims with detailed reserve and exposure analysis. Knowledge of multi-state claim handling and jurisdictional issues. Experience working in a high-performance claims environment where quality, precision, and respons