Major Case Specialist General Liability - Melville, NY
Our organization works with partner companies to source qualified talent for their open roles. This position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers.
Compensation Overview
Salary range: $104,000 – $171,700 annually. The role is eligible for performance‑based cash incentive awards and a sign‑on bonus.
What Is the Opportunity?
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims. It provides quality claim handling throughout the claim life cycle—including customer contacts, coverage analysis, investigation, evaluation, reserving, litigation management, negotiation and resolution—while maintaining full compliance with internal and external quality standards and state‑specific regulations. The role does not manage staff.
Responsibilities
- Directly handle assigned severe claims when Travelers has coverage of $2 million or less and file exposure exceeds $500,000.
- Provide quality customer service and ensure timely coverage analysis and communication with insured parties.
- Consult with manager on use of Claim Coverage Counsel as needed.
- Investigate each claim through prompt, strategically appropriate contact with policyholders, claimants, law‑enforcement agencies, witnesses, agents, medical providers and technical experts.
- Interview witnesses and stakeholders; take necessary statements.
- Complete outside investigations as required by case specifics.
- Utilize evaluation documentation tools in accordance with department guidelines.
- Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
- Use diary management system to ensure timely handling of all claims.
- Evaluate liability and damages exposure at required intervals.
- Establish and maintain proper indemnity and expense reserves.
- Recognize and implement alternate means of resolution.
- Manage litigated claims, developing litigation plans with staff or panel counsel, including discovery and legal expenses.
- Attend depositions, mediations, arbitrations, pre‑trials, trials and other legal proceedings as needed.
- Update appropriate parties with new facts and their impact on liability analysis and settlement options.
- Identify cases that should be transferred to a higher claim professional level and refer them promptly.
- Evaluate recovery potential; handle recovery efforts directly or direct company resources.
- Assist underwriting business partners in marketing and account contact efforts as needed.
- Participate in roundtables/authority discussions to improve indemnity and expense outcomes.
- Share creative resolution techniques to improve claim results for others.
- Mentor and coach less‑experienced claim professionals to increase technical expertise and bench strength.
- Provide guidance to underwriting partners on loss reserve accuracy and potential changes.
- Apply advanced litigation management through counsel selection, claim strategy evaluation, and direction.
- Track and control legal expenses to assure cost‑effective resolution.
- Handle personal and confidential information appropriately.
- Fulfill specific service commitments outlined in Special Account Communication (SAC) instructions.
- Represent the company as a technical resource in legal proceedings, adhering to professional guidelines and state laws.
- Research and communicate legal trends to support underwriting and management decisions.
- Participate in periodic file quality reviews.
- Obtain and maintain required insurance licenses within three months of hire and complete ongoing continuing‑education credits.
- Perform other duties as assigned.
Qualifications
- Bachelor’s Degree.
- 5–7 years bodily‑injury litigation claim handling experience.
- Advanced knowledge of coverage, liability and damages analysis; thorough understanding of litigation process, relevant case and statutory law, and expert litigation‑management skills.
- Extensive claim and/or legal experience with technical expertise to evaluate severe and complex claims.
- Ability to make independent decisions on most assigned cases without supervisor involvement.
- Thorough understanding of business‑line products, policy language, exclusions, ISO forms, and effective claims‑handling practices.
- Technical proficiency with virtual tools (Zoom, Skype, etc.).
- Openness to 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 – Advanced.
- Strong technology aptitude; ability to use business‑technology tools to research, track, and communicate