Major Case Specialist

What Is the Opportunity?

We are looking for a motivated and enthusiastic team player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims and/or excess claims that present significant financial exposures and multiple factors impacting complexity and severity.

What Will You Do?

• Authority - Payment and resolution on individual matters up to $500,000.
• Manage total exposure by claim or account that often greatly exceeds $1,000,000.
• Coverage Research and Analysis: Responsible for coverage analysis for claims and accounts with full damage values that often greatly exceed $1,000,000. Responsible for researching the existence and application of historical policies that involve a variety of policy types and versions issued by multiple legacy companies. Apply knowledge of relevant legal concepts in applicable jurisdictions. Prepare coverage recommendations and present to management. Effectively communicate and defend coverage positions to policyholders or their representatives. Negotiate resolution of coverage issues with other parties including insureds, other carriers and plaintiff's counsel.
• Liability Investigation and Analysis: Conduct thorough investigation and analysis of claim facts to determine liability. Apply knowledge of relevant legal concepts and the litigation environment in multiple jurisdictions to evaluate damages and develop appropriate course of action. Assign appropriate value to factors impacting severity. Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
• Litigation Management: Proactively develop and execute a strategic file management plan that achieves optimal file resolution, including as appropriate: research and recommendation of counsel; litigation and resolution strategies; management of loss adjustment expenses; engagement of appropriate experts and consultants; use of proper settlement and release terms. Apply critical and strategic thinking in managing files and accounts. Attend meetings with counsel, settlement conferences, mediations and trials. Make strategic decisions regarding case resolution to balance global risk on an account and/or jurisdictional basis. Drive results to appropriate resolution for policyholders and Travelers.
• Account Management: Apply an in-depth knowledge and understanding of assigned accounts in actions and decisions. Maintain effective working relationships with other account contacts. Ensure claims and settlement agreements are handled in a consistent manner. Responsible for decisive and broad reaching regular communication and reporting to coordinate/align actions on assigned accounts. Take a leadership role in meetings, presentations and negotiations with other contacts. Complete account reviews for asbestos and other claim types encompassing coverage, cost sharing, liability, past performance and future projections. Present data and projections to senior management, actuaries, and legal staff.
• Financial Analysis: Estimate financial exposures on an individual claim and account basis. Make presentations to actuarial group on specific accounts. Develop budgets and financial analyses; maintain appropriate defense and indemnity estimates. Recommend action and manage claims and accounts with full damage values that usually exceed $1,000,000.
• Coaching: The position may include training, mentoring, and technical coaching, as well as assisting with interviewing and hiring. May serve as a technical coach to claim professionals handling their own inventory of complex claims, building knowledge of those matters. Provide guidance and expertise in forging effective relationships. Provide perspective and ensure consistency in account management as appropriate.
• File Maintenance and Administrative Compliance: Maintain well-documented and organized claim files. Maintain proficiency with SRG claim systems and databases. Adhere to applicable requirements for data accuracy. Efficiently manage file inventory.
• Project Leadership: Lead or represent the unit/office on special projects at request of management. Perform other duties as assigned.

  What Will Our Ideal Candidate Have?

  • Education & Work Experience: Bachelor’s degree. 7+ years of experience in toxic tort, latent injury, environmental claim and coverage determination.
  • Job specific or technical competencies: Analytical Thinking. Communication. Judgment & Decision-Making. Teamwork. Accountability. Customer Focus. Relationship Management. Business Perspective. Knowledge of Regulatory and Claim Environments. Planning & Organizing. Technology. Working Independently. Application of Departmental Practices & Procedures. Licensing.