Liability Major Case Specialist - Morristown, NJ

What Is the Opportunity?

This position investigates, evaluates, reserves, negotiates and resolves assigned serious and complex Specialty claims. It involves providing quality claim handling throughout the claim life cycle, maintaining full compliance with internal and external quality standards and state specific regulations. It also includes consulting and training, serving as an expert technical resource, and managing litigated claims.

What Will You Do?

• 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.
• Work with Manager on use of Claim Coverage Counsel as needed.
• Investigate each claim through prompt and strategically-appropriate contact with appropriate parties.
• 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.
• Maintain claim files and document claim file activities in accordance with established procedures.
• 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.
• Manage litigated claims.
• Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• 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.
• Evaluate liability and damages exposure.
• Establish and maintain proper indemnity and expense reserves.
• 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.
• Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
• 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.
• Perform other duties as assigned.

Minimum Education Required

Bachelor's Degree. 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.

Additional Qualifications/Responsibilities

• Extensive working level knowledge and skill in various business line products.
• Excellent negotiation and customer service skills.
• Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills.
• Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
• Able to make independent decisions on most assigned cases without involvement of supervisor.
• Openness to the ideas and expertise of others and actively solicits input and shares ideas.
• Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
• Demonstrated strong coaching, influence and persuasion skills.
• Advanced 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.
• Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
• 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.
• Litigation Management - Advanced.
• Medical Terminology and Procedural Knowledge - Advanced.

Must Have

• Four years bodily injury litigation claim handling experience or comparable claim litigation experience.

Auto req ID

478928BR

City

Morristown

State

New Jersey

Job Code

Ins

Sponsor

Travelers Insurance

Salary Range

>$100,000