Claim Rep Sr, SIU - No Fault Litigation (Hybrid or Remote)

Come join a team where your investigative expertise and knowledge make a real impact. We are looking for an experienced No Fault claims professional to handle complex  No-Fault, Med Pay, and fraud-related claims while managing litigation exposure and delivering outstanding customer service.

This role offers the opportunity to work independently, collaborate with legal and investigative partners, and play a critical role in protecting both our customers and the organization through thoughtful, strategic claim handling.

What You'll Do

Investigate Complex Claims

• Manage a diverse caseload of claims, including PIP/No-Fault, Med Pay, and suspected fraud-related matters.
• Conduct detailed investigations through recorded statements, scene reviews, witness interviews, database research, and collaboration with field investigators.
• Analyze policy coverage including coordination of benefits, liability exposures, damages, and applicable statutes across multiple jurisdictions.
• Evaluate medical treatment, wage loss claims, and other damages using a variety of investigative resources.

Drive Successful Claim Outcomes

• Develop effective claim strategies that lead to timely and fair resolutions.
• Negotiate settlements through phone conferences, mediations, arbitrations, and face-to-face discussions.
• Maintain accurate reserves and manage claim expenses responsibly.
• Partner with experts, medical professionals, and vendors to support claim evaluations and investigations.

Manage Litigation and Regulatory Matters

• Direct and oversee defense counsel on litigated claims.
• Participate in depositions, examinations under oath, mediations, arbitrations, and trial-related activities.
• Prepare responses to regulatory inquiries, consumer complaints, and Department of Insurance matters.
• Ensure compliance with state regulations and company claim-handling standards.

Make an Impact Beyond Your Desk

• Serve as a mentor and resource for less experienced adjusters.
• Share best practices and contribute to training initiatives.
• Recommend process improvements that enhance efficiency and customer experience.
• Represent the organization with professionalism in all internal and external interactions.

What We're Looking For

• Bachelor's degree or equivalent combination of education and related experience.
• 3+ years of No Fault claims handling experience.
• Strong investigative, analytical, and negotiation skills, including coordination of benefits.
• Experience interpreting insurance policies, coverage provisions, and applicable case law and statutes.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to obtain and maintain required state adjuster licenses.

Preferred Qualifications

• Experience handling SIU, fraud-related, or highly complex claims.
• Litigation management experience.
• Insurance coursework, professional designations, or industry certifications.
• Bilingual language skills.
• Experience working with attorneys, medical experts, and law enforcement agencies.

Why Mapfre?

As a global insurance leader with a strong local presence, we offer more than a job — we provide a purpose-driven career where your growth, well-being, and impact truly matter.

Purpose & Culture: Join a company built on trust, collaboration, and inclusion. Our values guide everything we do, creating a workplace where people feel respected and empowered.

Comprehensive Benefits: Enjoy competitive health coverage, retirement plans, paid time off, flexible work options, and lifestyle perks like employee discounts.

Career Growth: Advance your skills through tuition reimbursement, leadership programs, and internal mobility opportunities. Your development is our priority.

Social Responsibility: Contribute to meaningful initiatives through Fundación Mapfre, supporting communities and sustainability worldwide.

Pay Philosophy: The typical starting salary range for this role is determined by several factors including skills, experience, education, certifications, and location. Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary, calculated based upon factors set forth in the compensation plan for the role.

Salary Range $52,100 - $82,200

If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the Mapfre Insurance Talent Acquisition team at talentacquisition@mapfreusa.com.

We are proud to be an equal opportunity employer.