Major Case Specialist, GL
for each section heading. Use - for any list of duties/requirements/benefits, and
for prose. Do NOT repeat the job title as a heading. Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones.
We need to parse the posting.
Key sections:
- Who Are We? (company description) -> could be "About the role"? Actually "About the role" is generic; but we have "Who Are We?" describing company. Could map to "About the role"? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those headings if content matches. We have "Who Are We?" which is about company; could be placed under "About the role". We'll include that.
- Compensation Overview: includes salary range, target openings, sign on bonus mention. So we have Pay section: salary range $104,000 - $171,700. Also mention sign on bonus. Also mention performance-based cash incentive awards. Also mention compensation overview. So we can create Pay section with that info.
- What Is the Opportunity? includes description of role, responsibilities. That's responsibilities.
- What Will You Do? includes detailed duties list. That's also responsibilities; we can combine.
- What Will Our Ideal Candidate Have? includes qualifications, requirements, skills. Could split into Requirements, Qualifications, Skills. But we need to avoid thin sections. We can combine into Requirements (including qualifications) and Skills maybe. However we need to follow headings list; we can include Requirements, Qualifications, Skills if we have content. But we must avoid filler. Let's see content:
"What Will Our Ideal Candidate Have?" includes:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- 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.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus we have qualifications (education, experience), skills (various advanced skills). Could separate into Requirements (education, experience) and Skills (the advanced skill list). Qualifications maybe similar to Requirements. But we can combine.
Benefits: "What Is in It for You?" includes health insurance, retirement (401k match, student loan program, pension), paid time off, wellness program, volunteer encouragement. So we have Benefits section.
Pay: we have compensation overview and salary range.
Schedule: not mentioned. So we should NOT include Schedule section.
Thus we will output sections: About the role (company description), Responsibilities (role description and duties), Requirements (education, experience, must-have), Skills (advanced skill list), Benefits, Pay.
We need to use for each heading. Use - for any list of duties/requirements/benefits, and
for prose.
We need to preserve all substantive information, not invent or summarize away detail. So we need to include details like salary range, sign on bonus, performance-based cash incentive awards, etc.
We need to remove boilerplate: EEO, equal opportunity, etc. Also remove duplicated lines. Also remove application instructions (like "If you are a candidate and have specific questions regarding the physical requirements...").
We need to keep the content but format.
Let's extract each piece.
Company 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 170 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."
We'll put that under About the role as prose (
).
Responsibilities: combine "What Is the Opportunity?" and "What Will You Do?" plus maybe some other duty sentences.
What Is the Opportunity? text:
"This role is eligible for a sign on bonus. Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty 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."
What Will You Do? is a long list of duties. We'll need to capture each duty as list items? The instruction: Use
- for any list of duties/requirements/benefits. So we should turn the duties into list items. However the duties are many sentences; we could break them into separate
- items. But we must preserve all substantive information; we can either keep as prose (
) but they said use
- for any list of duties/requirements/benefits. So we should convert to list.
Thus we need to parse the "What Will You Do?" paragraph into individual duties. It's a long sentence with many clauses separated by periods. We'll split by periods (but careful with abbreviations). We'll produce list items each representing a duty.
Let's extract the sentences:
"Directly handle assigned severe claims."
"Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value."
"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." Actually original: "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."
"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."
"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."
"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."
"At required time intervals, evaluate liability and damages exposure."
"Establish and maintain proper indemnity and expense reserves."
"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."
"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."
"Apply litigation management through the selection of counsel, evaluation."
"Perform other duties as assigned."
We need to ensure we keep all details.
Now Requirements: education, experience, must-have.
From "What Will Our Ideal Candidate Have?" we have:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus Requirements could include education, experience, must-have. We'll list them as
- .
Skills: The advanced skill list (Analytical Thinking - Advanced, etc.) could be separate Skills section.
But we already included many skill-like items in Requirements. To avoid duplication, we could separate: Requirements
for prose. Do NOT repeat the job title as a heading. Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones. We need to parse the posting. Key sections: - Who Are We? (company description) -> could be "About the role"? Actually "About the role" is generic; but we have "Who Are We?" describing company. Could map to "About the role"? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those headings if content matches. We have "Who Are We?" which is about company; could be placed under "About the role". We'll include that.
- Compensation Overview: includes salary range, target openings, sign on bonus mention. So we have Pay section: salary range $104,000 - $171,700. Also mention sign on bonus. Also mention performance-based cash incentive awards. Also mention compensation overview. So we can create Pay section with that info.
- What Is the Opportunity? includes description of role, responsibilities. That's responsibilities.
- What Will You Do? includes detailed duties list. That's also responsibilities; we can combine.
- What Will Our Ideal Candidate Have? includes qualifications, requirements, skills. Could split into Requirements, Qualifications, Skills. But we need to avoid thin sections. We can combine into Requirements (including qualifications) and Skills maybe. However we need to follow headings list; we can include Requirements, Qualifications, Skills if we have content. But we must avoid filler. Let's see content:
"What Will Our Ideal Candidate Have?" includes:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- 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.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus we have qualifications (education, experience), skills (various advanced skills). Could separate into Requirements (education, experience) and Skills (the advanced skill list). Qualifications maybe similar to Requirements. But we can combine.
Benefits: "What Is in It for You?" includes health insurance, retirement (401k match, student loan program, pension), paid time off, wellness program, volunteer encouragement. So we have Benefits section.
Pay: we have compensation overview and salary range.
Schedule: not mentioned. So we should NOT include Schedule section.
Thus we will output sections: About the role (company description), Responsibilities (role description and duties), Requirements (education, experience, must-have), Skills (advanced skill list), Benefits, Pay.
We need to use for each heading. Use - for any list of duties/requirements/benefits, and
for prose.
We need to preserve all substantive information, not invent or summarize away detail. So we need to include details like salary range, sign on bonus, performance-based cash incentive awards, etc.
We need to remove boilerplate: EEO, equal opportunity, etc. Also remove duplicated lines. Also remove application instructions (like "If you are a candidate and have specific questions regarding the physical requirements...").
We need to keep the content but format.
Let's extract each piece.
Company 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 170 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."
We'll put that under About the role as prose (
).
Responsibilities: combine "What Is the Opportunity?" and "What Will You Do?" plus maybe some other duty sentences.
What Is the Opportunity? text:
"This role is eligible for a sign on bonus. Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty 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."
What Will You Do? is a long list of duties. We'll need to capture each duty as list items? The instruction: Use
- for any list of duties/requirements/benefits. So we should turn the duties into list items. However the duties are many sentences; we could break them into separate
- items. But we must preserve all substantive information; we can either keep as prose (
) but they said use
- for any list of duties/requirements/benefits. So we should convert to list.
Thus we need to parse the "What Will You Do?" paragraph into individual duties. It's a long sentence with many clauses separated by periods. We'll split by periods (but careful with abbreviations). We'll produce list items each representing a duty.
Let's extract the sentences:
"Directly handle assigned severe claims."
"Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value."
"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." Actually original: "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."
"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."
"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."
"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."
"At required time intervals, evaluate liability and damages exposure."
"Establish and maintain proper indemnity and expense reserves."
"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."
"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."
"Apply litigation management through the selection of counsel, evaluation."
"Perform other duties as assigned."
We need to ensure we keep all details.
Now Requirements: education, experience, must-have.
From "What Will Our Ideal Candidate Have?" we have:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus Requirements could include education, experience, must-have. We'll list them as
- .
Skills: The advanced skill list (Analytical Thinking - Advanced, etc.) could be separate Skills section.
But we already included many skill-like items in Requirements. To avoid duplication, we could separate: Requirements
- for any list of duties/requirements/benefits, and
for prose. We need to preserve all substantive information, not invent or summarize away detail. So we need to include details like salary range, sign on bonus, performance-based cash incentive awards, etc. We need to remove boilerplate: EEO, equal opportunity, etc. Also remove duplicated lines. Also remove application instructions (like "If you are a candidate and have specific questions regarding the physical requirements..."). We need to keep the content but format. Let's extract each piece. Company 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 170 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." We'll put that under About the role as prose (
). Responsibilities: combine "What Is the Opportunity?" and "What Will You Do?" plus maybe some other duty sentences. What Is the Opportunity? text: "This role is eligible for a sign on bonus. Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty 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." What Will You Do? is a long list of duties. We'll need to capture each duty as list items? The instruction: Use
- for any list of duties/requirements/benefits. So we should turn the duties into list items. However the duties are many sentences; we could break them into separate
- items. But we must preserve all substantive information; we can either keep as prose (
) but they said use
- for any list of duties/requirements/benefits. So we should convert to list.
Thus we need to parse the "What Will You Do?" paragraph into individual duties. It's a long sentence with many clauses separated by periods. We'll split by periods (but careful with abbreviations). We'll produce list items each representing a duty.
Let's extract the sentences:
"Directly handle assigned severe claims."
"Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value."
"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." Actually original: "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."
"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."
"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."
"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."
"At required time intervals, evaluate liability and damages exposure."
"Establish and maintain proper indemnity and expense reserves."
"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."
"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."
"Apply litigation management through the selection of counsel, evaluation."
"Perform other duties as assigned."
We need to ensure we keep all details.
Now Requirements: education, experience, must-have.
From "What Will Our Ideal Candidate Have?" we have:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus Requirements could include education, experience, must-have. We'll list them as
- . Skills: The advanced skill list (Analytical Thinking - Advanced, etc.) could be separate Skills section. But we already included many skill-like items in Requirements. To avoid duplication, we could separate: Requirements
- for any list of duties/requirements/benefits. So we should convert to list.
Thus we need to parse the "What Will You Do?" paragraph into individual duties. It's a long sentence with many clauses separated by periods. We'll split by periods (but careful with abbreviations). We'll produce list items each representing a duty.
Let's extract the sentences:
"Directly handle assigned severe claims."
"Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value."
"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." Actually original: "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."
"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."
"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."
"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."
"At required time intervals, evaluate liability and damages exposure."
"Establish and maintain proper indemnity and expense reserves."
"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."
"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."
"Apply litigation management through the selection of counsel, evaluation."
"Perform other duties as assigned."
We need to ensure we keep all details.
Now Requirements: education, experience, must-have.
From "What Will Our Ideal Candidate Have?" we have:
- Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- 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.
- Can adapt to and support cultural change.
- Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
Then "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
Thus Requirements could include education, experience, must-have. We'll list them as