Major Case Specialist, GL - Melville, NY
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Remove boilerplate. Must preserve all substantive info. We need to parse the job description. Key sections: - Intro: "ATTENTION MILITARY AFFILIATED JOB SEEKERS ..." and description about Travelers Promise etc. That's about the role/company. Could be "About the role" or maybe "About the company". Use "About the role" heading. - "Job Category Claim Compensation Overview" then details about salary range, target openings, sign on bonus, etc. That's Pay and maybe Benefits? There's mention of performance-based cash incentive awards, sign on bonus. Also "Salary Range $104,000.00 - $171,700.00". So we can have Pay section with salary range and mention sign on bonus and performance-based cash incentive awards. - "What Is the Opportunity?" then description of role responsibilities. That's Responsibilities. - "What Will You Do?" then list of duties. That's also responsibilities; we can combine. - "Additional Qualifications/Responsibilities" then "What Will Our Ideal Candidate Have?" list of qualifications, education, experience, skills. That's Requirements/Qualifications/Skills. - "What is a Must Have?" specific requirement: Four years bodily injury litigation claim handling experience or comparable claim litigation experience. - Location: City* Melville State* New York. - Job Category Claims, Job Code Ins Insurance Affiliate Sponsor Travelers Insurance. - Salary Range >$100,000 (duplicate). We need to avoid duplication. We must not include metadata like Job ID, requisition numbers as headings; we can fold minor metadata into a short
or drop it. So we can include location in a paragraph under About the role maybe. We must not include boilerplate like EEO etc. Not present. We must not create sections with placeholder text. Thus sections: - About the role: include intro about Travelers, military affiliated, promise, culture, etc. Also location maybe. - Responsibilities: combine "What Is the Opportunity?" and "What Will You Do?" details. - Requirements: include education (High School/GED minimum, Bachelor's Degree ideal), experience (10+ years claim handling, 5-7 years serious injury and complex liability, 4 years bodily injury litigation claim handling), etc. - Qualifications: maybe same as Requirements? Could combine but we need separate headings only if content. Could have "Qualifications" for degree and experience, "Skills" for skill list. - Skills: list of advanced skills: negotiation, customer service, coverage, liability, damages analysis, litigation management, etc. - Benefits: mention performance-based cash incentive awards, sign on bonus? Actually sign on bonus is part of compensation; could be Pay. Benefits maybe not specified; we have no explicit benefits like health, retirement. So we should not create Benefits section unless stated. There's mention of "As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards." That's a benefit (incentive). Could be Benefits section. - Pay: salary range and sign on bonus. - Schedule: not mentioned; do not include. Thus we will have sections: About the role, Responsibilities, Requirements, Skills, Benefits, Pay. We need to use
for each section heading. Use - for lists. Use
for prose.
We must preserve all substantive info; not invent or summarize away detail. Must not omit any substantive info. Must include all details: e.g., "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." etc. Must keep that.
We need to be careful not to duplicate content.
Let's extract sections.
**About the role**:
- "ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 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."
- Also location: "City* Melville State* New York". Could be included.
We should not include application instructions like "please click the submit button". That's boilerplate? It's application instruction; we should remove application instructions. The instruction says remove application instructions. So we should drop that sentence. Also "If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps." Remove.
Thus About the role paragraph: "Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. 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." plus location maybe as a separate paragraph.
**Responsibilities**:
From "What Is the Opportunity?" and "What Will You Do?".
Let's capture:
- "This role is eligible for a sign on bonus." (maybe Pay)
- "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."
- Then list of duties from "What Will You Do?":
- 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.
- 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 keep all that.
**Requirements**:
- Minimum Education Required: High School/GED.
- Additional Qualifications/Responsibilities: "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.
- "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience.
We could separate Requirements (education, experience) and Skills (skill list). But we have many skill items that could go under Skills.
Thus:
**Requirements** (education and experience):
- Minimum Education Required: High School/GED.
- Ideal candidate: Bachelor's Degree.
- 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims.
- Four years bodily injury litigation claim handling experience or comparable claim litigation experience (must have).
- Extensive claim and/or legal experience to evaluate severe and complex claims.
- Able to make independent decisions on most assigned cases without supervisor involvement.
- Openness to ideas and expertise of others, actively solicits input and shares ideas.
- Thorough understanding of commercial lines products
for prose. We must preserve all substantive info; not invent or summarize away detail. Must not omit any substantive info. Must include all details: e.g., "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." etc. Must keep that. We need to be careful not to duplicate content. Let's extract sections. **About the role**: - "ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 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." - Also location: "City* Melville State* New York". Could be included. We should not include application instructions like "please click the submit button". That's boilerplate? It's application instruction; we should remove application instructions. The instruction says remove application instructions. So we should drop that sentence. Also "If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps." Remove. Thus About the role paragraph: "Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. 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." plus location maybe as a separate paragraph. **Responsibilities**: From "What Is the Opportunity?" and "What Will You Do?". Let's capture: - "This role is eligible for a sign on bonus." (maybe Pay) - "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." - Then list of duties from "What Will You Do?": - 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. - 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 keep all that. **Requirements**: - Minimum Education Required: High School/GED. - Additional Qualifications/Responsibilities: "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. - "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience. We could separate Requirements (education, experience) and Skills (skill list). But we have many skill items that could go under Skills. Thus: **Requirements** (education and experience): - Minimum Education Required: High School/GED. - Ideal candidate: Bachelor's Degree. - 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. - Four years bodily injury litigation claim handling experience or comparable claim litigation experience (must have). - Extensive claim and/or legal experience to evaluate severe and complex claims. - Able to make independent decisions on most assigned cases without supervisor involvement. - Openness to ideas and expertise of others, actively solicits input and shares ideas. - Thorough understanding of commercial lines products