Sr. Commercial Liability Claim Representative - Irvine, CA

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. 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.

Responsibilities

• Directly handles assigned severe claims.
• Provides quality customer service and ensures file quality and timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Consults with Manager on use of Claim Coverage Counsel as needed.
• Directly investigates 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.
• Interviews witnesses and stakeholders; takes necessary statements, as strategically appropriate.
• Completes outside investigation as needed per case specifics.
• Actively engages 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, and fire or fraud investigators, and other experts.
• Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
• Maintains claim files and documents claim file activities in accordance with established procedures.
• Utilizes evaluation documentation tools in accordance with department guidelines.
• Proactively reviews Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
• Utilizes diary management system to ensure that all claims are handled timely.
• At required time intervals, evaluates liability and damages exposure.
• Establishes and maintains proper indemnity and expense reserves.
• Recommends appropriate cases for discussion at roundtable.
• Attends and/or presents at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
• Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.
• Develops and employs creative resolution strategies.
• Promptly and properly disposes all claims within delegated authority.
• Negotiates disposition of claims with insureds and claimants or their legal representatives.
• Recognizes and implements alternate means of resolution.
• Manages litigated claims.
• Develops litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Applies litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.
• Tracks and controls legal expenses to assure cost-effective resolution.
• Effectively and efficiently manages both allocated and unallocated loss adjustment expenses.
• Attends depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
• Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
• Recognizes cases, based on severity/complexity protocols, that should be transferred to another level of claim professional and refers