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 plaintif