Major Case Specialist - SRG Claim - Indianapolis IN
VetJobs · Indianapolis, IN · 3 wk ago
Information Technology$109k–$180k/yrFull-time
About the role
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.
Responsibilities
- 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.
- 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.
- 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.
Qualifications
- Education & Work Experience:
- Bachelor’s degree.
- 7+ years of experience in toxic tort, latent injury, environmental claim and coverage determination.
- Additional Qualifications/Responsibilities:
- Must have a High School Diploma or GED.
- 4 years experience in environmental claim and coverage determination or in handling severe, highly complex liability claims and litigation or comparable claim litigation or legal experience, OR 4 years of bodily injury or property damage claim handling experience or comparable claim litigation or legal experience plus 3 years of SRG experience.
- In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.