Auto Complex Case Specialist - New Hire Bonus
Company: The Travelers Companies, Inc.
Location: Rancho Cordova
Posted on: June 20, 2022
Job Description:
Who Are We?Taking care of our customers, our communities and
each other. That's the Travelers Promise. By honoring this
commitment, we have maintained our reputation as one of the best
property casualty insurers in the industry for over 160 years. Join
us to discover a culture that is rooted in innovation and thrives
on collaboration. Imagine loving what you do and where you do
it.Compensation OverviewThe annual base salary range provided for
this position is a nationwide market range and represents a broad
range of salaries for this role across the country. The actual
salary for this position will be determined by a number of factors,
including the scope, complexity and location of the role; the
skills, education, training, credentials and experience of the
candidate; and other conditions of employment. As part of our
comprehensive compensation and benefits program, employees are also
eligible for performance-based cash incentive awards.Salary
Range$88,200.00 - $145,600.00Target Openings1What Is the
Opportunity?New things on the Horizon ! Potential for a $10,000
sign on bonus!
Under general supervision, this position is responsible for
investigating, evaluating, reserving, negotiating and resolving
assigned serious and complex Auto Liability claims. Provides
quality claim handling throughout the claim life cycle (customer
contacts, coverage, investigation, evaluation, reserving,
litigation management, negotiation and resolution) including
maintaining full compliance with internal and external quality
standards and state specific regulations. Provides consulting and
training and serves as an expert technical resource to other claim
professionals, business partners, customers, and other stakeholders
as appropriate or required.
This position does not manage staff.
Travelers offers a hybrid work location model that is designed to
support flexibility.Primary Job Duties & ResponsibilitiesCLAIM
HANDLING:
- An experienced MCS may have up to reserve/estimate authority of
generally $500,000 and payment/settlement authority of $500,000 and
generally $500,000 -$2 million total file exposure (full value
without regard to coverage or liability defenses).
- Directly handle assigned severe claims.
- 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.
- Directly investigate each claim through prompt and
strategically-appropriate 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.
- Interview witnesses and stakeholders; take necessary
statements, as strategically appropriate.
- Complete outside investigation as needed per case
specifics.
- Actively engage in the identification, selection and direction
of appropriate internal and/or external resources for specific
activities required to effectively evaluate claims, such as
Subrogation, Risk Control, nurse consultants nurse consultants, and
fire or fraud investigators, and other experts.
- Verify the nature and extent of injury or property damage by
obtaining and reviewing appropriate records and damages
documentation.
- Maintain claim files and document claim file activities in
accordance with established procedures.
- Utilize evaluation documentation tools in accordance with
department guidelines.
- Proactively review Claim File Analysis (CFA) for adherence to
quality standards and trend analysis.
- Utilize diary management system to ensure that all claims are
handled timely.
- Establish and maintain proper indemnity and expense
reserves.
- Apply the Company's claim quality management protocols, and
metrics to all claims; document the rationale for any departure
from applicable protocols and metrics with or without
assistance.
- Develop and employ creative resolution strategies.
- 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.
- Manages litigated claims. Develop litigation plan with staff or
panel counsel, including discovery and legal expenses, to assure
effective resolution and to satisfy customers.LEADERSHIP:
- Actively and enthusiastically share experience and knowledge of
creative resolution techniques to improve the claim results of
others.COMMUNICATIONS/INFLUENCE:
- Consult with Manager on use of Claim Coverage Counsel as
needed.
- Provide guidance to underwriting business partners with respect
to accuracy and adequacy of, and potential future changes to, loss
reserves on assigned claims.
- Recommend appropriate cases for discussion at roundtable.
- Attend and/or present at roundtables/ authority discussions for
collaboration of technical expertise resulting in improved payout
on indemnity and expense.OTHER ACCOUNTABILITIES:
- Apply litigation management through the selection of counsel,
evaluation and direction of claim and litigation strategy.
- Track and control.
- In order to perform the essential functions of this job,
acquisition and maintenance of Insurance License(s) may be required
to comply with state and Travelers requirements.
- Generally, license(s) must be obtained within three months of
starting the job and obtain ongoing continuing education credits as
mandated.Minimum Qualifications
- High School Degree or GED required with a minimum of 5 years
litigation and severity claim handling or comparable claim
litigation experience.Education, Work Experience, & Knowledge
- Bachelor's Degree or Juris Doctorate or Paralegal Certification
from an ABA-Certified program preferred.
- 5+ years litigation and severity claim handling
experience.
- Advanced level knowledge in coverage, liability and damages
analysis and has a thorough understanding of the litigation
process, relevant case and statutory law and expert litigation
management skills.
- Extensive claim and/or legal experience and technical expertise
to evaluate severe and complex claims.
- Able to make independent decisions on most assigned cases
without involvement of supervisor.
- Thorough understanding of business line products, policy
language, exclusions, ISO forms, and effective claims handling
practicesJob Specific Technical Skills & Competencies
- Openness to the ideas and expertise of others actively solicits
input and shares ideas.
- Strong customer service skills. - Advanced
- Demonstrated coaching, influence and persuasion skills.-
Advanced
- Strong written and verbal communication skills are required so
as to understand, synthesize, interpret and convey, in a simplified
manner, complex data and information to audiences with varying
levels of expertise.- Advanced
- Strong technology aptitude; ability to use business technology
tools to effectively research, track, and communicate information.
- Advanced
- Attention to detail ensuring accuracy - Advanced
- Job Specific Technical Competencies:
- Analytical Thinking - Advanced
- Judgment/Decision Making - Advanced
- Communication - Advanced
- Negotiation - Advanced
- Insurance Contract Knowledge - Advanced
- Principles of Investigation - Advanced
- Value Determination - Advanced
- Settlement Techniques - Advanced
- Legal Knowledge - Advanced
- Medical Knowledge - IntermediateEnvironmental / Work Schedules
/ Other
- Operates standard office equipment - Continuously
- Sitting (can stand at will) - Continuously
- Standing - Frequently
- Use of Keyboards, Sporadic 10-Key - ContinuouslyEmployment
PracticesTravelers is an equal opportunity employer. We value the
unique abilities and talents each individual brings to our
organization and recognize that we benefit in numerous ways from
our differences.
If you are a candidate and have specific questions regarding the
physical requirements of this role, please send us an email so we
may assist you.
Travelers reserves the right to fill this position at a level above
or below the level included in this posting.To learn more about our
comprehensive benefit programs please visit
http://careers.travelers.com/life-at-travelers/benefits/.
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Keywords: The Travelers Companies, Inc., Rancho Cordova , Auto Complex Case Specialist - New Hire Bonus, Other , Rancho Cordova, California
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