Jobs · Information Technology · Indiana

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.

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