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

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 responsiveness are expected BS/BA degree or equivalent work experience. Minimum of 2 years' experience in claims adjustment, general insurance or formal claims training. Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU). Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.