AVP- Complex Claim Specialist

Claim Specialist

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.

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $132,800.00 - $219,100.00 Target Openings 2

What Is The Opportunity?

Investigate, evaluate, reserve, negotiate and resolve the company's most severe and / or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, negotiating and resolution. 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 may include a specific assignment as a severity management resource to one or more field offices.

What Will You Do?

Claim Handling :

• Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million or greater and file exposure is greater than $2 million.
• 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.
• 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 Subro, Risk Control, 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.
• Utilize diary management system to ensure that all claims are handled timely.
• At required time intervals, evaluate liability & damages exposure.
• Establish and maintain proper indemnity & expense reserves.
• Share experience and deep knowledge of creative resolution techniques to improve the claim results of others.
• Apply the Company's claim quality management protocols, Best Practices and metrics to all claims; document the rationale for any departure from applicable protocols and metrics.
• Develop and employ creative resolution strategies.
• Effectively and efficiently manage both allocated and unallocated loss adjustment expenses
• Evaluate all claims for recovery potential; directly handle recovery efforts and / or engage and direct Company resources for recovery efforts.
• Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives.
• Ensure that the right resources are being applied to each claim to achieve the best result at the most optimal cost.

Leadership :

Communication / Influence :

Other Accountabilities :

What Will Our Ideal Candidate Have?

College degree preferred or equivalent business experience.

5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, investigation, research, evaluation, negotiation and settlement).

Position requires a proficiency in oral and written communications. Advanced communications skills are required to understand, interpret and convey highly technical information in simple terms to others.

Thorough understanding of product lines, objectives of claim management, and legal theory issues involving claim resolution.

Familiarity with commercial lines / personal lines products, policy language, exclusions, ISO forms, effective claims handling practices.

Extensive experience handling large exposure and / or complex liability claims.

Familiarity with commercial lines products, policy language, exclusions, ISO forms, effective claims handling practices.

Thorough understanding of the litigation process, relevant case and statutory law.

Ability to recognize, analyze and advise on complex coverage, liability and damage issues.

Expert written and verbal communication skills to understand, synthesize, interpret and convey complex data.

Create and manage positive working relationships with business and marketing partners.

Ability to analyze and effectively respond to human resource issues.

Utilize technology as a strategic tool.

Ability to make independent decisions up to $1,000,000 without involvement of supervisor.

Competencies :