Jobs · Information Technology · New Jersey

Major Case Specialist, GL - Morristown, NJ

VetJobs · Morristown, NJ · 1 mo ago
Information Technology$104k–$172k/yrFull-time
We need to output HTML fragment with sections: About the role? The posting includes many details. We need to identify sections: About the role (maybe intro), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Must remove boilerplate. We need to parse the job description. Key parts: - Intro: "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." That's about the company and role. Could be "About the role" or "About Travelers". We'll use "About the role". - Job Category Claim Compensation Overview: then Salary Range $104,000.00 - $171,700.00, Target Openings 1, This role is eligible for a sign on bonus. So Pay section: Salary range and sign on bonus. - Benefits: Not explicitly listed; maybe not present. The posting mentions "As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards." That's a benefit (performance-based cash incentive). Also maybe other benefits not listed. We could include Benefits section with that line. - Schedule: Not mentioned. - Responsibilities: The "What Will You Do?" section lists many duties. Also "What Is the Opportunity?" includes some responsibilities. We'll combine into Responsibilities. - Requirements/Qualifications: Minimum Education Required High School/GED, Additional Qualifications/Responsibilities: Bachelor's Degree, 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims, etc. Also "What is a Must Have?" Four years bodily injury litigation claim handling experience or comparable claim litigation experience. Also location: City* Morristown State* New Jersey. Also Job Category Claims, Job Code Ins Insurance Affiliate Sponsor Travelers Insurance. We need to capture qualifications: education, experience, must-have, skills. - Skills: Many listed: Advanced skills in coverage, liability and damages analysis, expert understanding of litigation process, etc. Also list of competencies: Analytical Thinking - Advanced, Judgment/Decision Making - Advanced, etc. Could be a Skills section. We need to avoid duplication. We'll create sections: About the role, Responsibilities, Qualifications, Skills, Pay, Benefits. We must not include empty sections. We must not include placeholders like "commensurate with experience". Not present. We must not include Job ID etc. We must output only HTML fragment. Let's craft.

About the role

...intro text...

Responsibilities

  • ...list items...
We need to preserve all substantive information; not invent or summarize away detail. So we need to include each duty as separate list items? Could be long but okay. We must not lose any detail. We'll need to capture each sentence from "What Will You Do?" and maybe also from "What Is the Opportunity?" (investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims; provides consulting and training; serves as expert technical resource). We'll combine. We'll produce list items for each duty. Similarly for Qualifications: list items for education, experience, must-have, location maybe. Skills: list items for each skill/competency. Pay: Salary range and sign on bonus. Benefits: performance-based cash incentive awards. Let's extract. Intro text: "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." We'll keep as paragraph. Responsibilities: from "What Is the Opportunity?" and "What Will You Do?". 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? list many duties. We'll break each sentence into list items. Let's extract each bullet: - 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'll include these as
  • . Qualifications: Minimum Education Required High School/GED; 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; City* Morristown State* New Jersey. We could separate Qualifications (education, experience, must-have) and Skills (the list of competencies). But many of those are skills. We'll create Qualifications for education, experience, must-have, location. Skills for the list of competencies. Qualifications list items: - Minimum Education Required: High School/GED - Preferred Education: Bachelor's Degree - Experience: 10+ years claim handling experience, including 5-7 years handling serious injury and complex liability claims - Must Have: Four years bodily injury litigation claim handling experience or comparable claim litigation experience - Location: Morristown, New Jersey Also maybe "Extensive working level knowledge and skill in various business line products" could be skill. We'll keep Qualifications as above. Skills list items: many. Let's extract skills/competencies: - 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 -
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