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Senior Technical Specialist – Claim General Liability (Multiple Locations) | ||
SUMMARY: Investigate, evaluate, reserve, negotiate and settle assigned claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. PRIMARY DUTIES: Provide quality customer service and ensure file quality Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consult with Unit Manager on use of Claim Coverage Counsel. Investigate each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Take necessary statements. Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts. Request through Unit Manager and coordinate the results of their efforts and findings. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure, and establish proper indemnity & expense reserves. Utilize evaluation documentation tools in accordance with department guidelines. Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolution Recognize cases to be managed by the major case claim unit and submit on a timely basis Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Supervise litigation by choosing staff or panel counsel to litigate cases Work closely with staff or outside counsel to develop a litigation plan, including discovery and legal expenses to assure effective resolution and to satisfy our customers Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognize cases based on severity protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis. Compliance with Claim Department's 'Best Practices'. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline preferred WORK EXPERIENCE: Substantial experience in claim operations environment determining investigation and research, evaluation, negotiation and settlement CERTIFICATES/DEGREES: State licenses, where applicable OTHER: Understanding of product lines, objectives of claim handling, and legal theory issues involving claim resolution Expert evaluation, negotiation and case resolution skills File Management Technical Customer Focus/ Communication Relationship Management Technology Ken Falzone, CPC Sr. Consultant, Talent Acquisition The Travelers Companies, Inc. (P) 860-277-7717 (F) 877-872-5430
Travelers is an equal opportunity employer. We actively promote a drug-free workplace.
Travelers has been recognized by Fortune Magazine as one of the most admired companies to work for, ranking 2nd amongst all property casualty insurers in 2009. Travelers was recently ranked Top Property & Casualty Company in BusinessWeek's Best Places to Launch a Career Survey!
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