What are the responsibilities and job description for the Major Case Specialist, Complex Claims - Richardson, TX position at VetJobs?
Job Description
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. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.
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 160 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.
Compensation Overview
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
$106,300.00 - $175,400.00
What Is the Opportunity?
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. With general supervision, you will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage issues. Aided by your expertise, you will develop strategies to successfully resolve these claims in the most efficient and effective way while meeting established protocols and delivering optimal customer service. You will apply your highly advanced knowledge of legal issues and applicable case law in multiple jurisdictions. Your case assignments will include multi-plaintiff and multi-jurisdiction litigation with the potential for shaping future legal precedent in the areas of coverage and liability, as well as nationwide valuation trends. You will be responsible for cases involving emerging legal trends and liability theories. The position may include training, mentoring, and technical coaching, as well as assisting with interviewing and hiring. May serve as a technical coach for 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.
What Will You Do?
In the handling of our most complex claims with a high degree of independence, your responsibilities may include:
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. Claims typically involve complex trigger, allocation, limits, and exclusion issues for which incorrect analysis could result in coverage beyond the original intent. Responsible for researching the existence and application of historical policies that involve a variety of policy types and versions issued by multiple legacy companies. 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. Responsibilities include ensuring appropriate handling of accounts by individuals that you may coach. Complete account reviews for asbestos and other claim types encompassing coverage, cost sharing, liability, past performance and future projections. Present data and projections to senior management, actuaries, and legal staff.
Financial Analysis
Estimate financial exposures on an individual claim and account basis. Make presentations to actuarial group on specific accounts. Develop budgets and financial analyses; maintain appropriate defense and indemnity estimates. Recommend action and manage claims and accounts with full damage values that usually exceed $1,000,000.
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.
Auto req ID
440114BR
Minimum Education Required
High School/GED
Job_Category
Claims
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Education & Work Experience
Bachelor’s degree.
7 years of experience in toxic tort, latent injury, environmental claim and coverage determination.
Job Specific Or Technical Competencies
Analytical Thinking.
Communication.
Judgment & Decision-Making.
Teamwork.
Accountability.
Customer Focus.
Relationship Management.
Business Perspective.
Knowledge of Regulatory and Claim Environments.
Planning & Organizing.
Technology.
Working Independently.
Application of Departmental Practices & Procedures.
Licensing.
What is a Must Have?
High School Diploma or GED.
A minimum of 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. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing education credits as mandated.
City*
Richardson
State*
Texas
Job Code
Ins Insurance
Affiliate Sponsor
Travelers Insurance
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. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.
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 160 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.
Compensation Overview
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
$106,300.00 - $175,400.00
What Is the Opportunity?
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. With general supervision, you will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage issues. Aided by your expertise, you will develop strategies to successfully resolve these claims in the most efficient and effective way while meeting established protocols and delivering optimal customer service. You will apply your highly advanced knowledge of legal issues and applicable case law in multiple jurisdictions. Your case assignments will include multi-plaintiff and multi-jurisdiction litigation with the potential for shaping future legal precedent in the areas of coverage and liability, as well as nationwide valuation trends. You will be responsible for cases involving emerging legal trends and liability theories. The position may include training, mentoring, and technical coaching, as well as assisting with interviewing and hiring. May serve as a technical coach for 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.
What Will You Do?
In the handling of our most complex claims with a high degree of independence, your responsibilities may include:
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. Claims typically involve complex trigger, allocation, limits, and exclusion issues for which incorrect analysis could result in coverage beyond the original intent. Responsible for researching the existence and application of historical policies that involve a variety of policy types and versions issued by multiple legacy companies. 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. Responsibilities include ensuring appropriate handling of accounts by individuals that you may coach. Complete account reviews for asbestos and other claim types encompassing coverage, cost sharing, liability, past performance and future projections. Present data and projections to senior management, actuaries, and legal staff.
Financial Analysis
Estimate financial exposures on an individual claim and account basis. Make presentations to actuarial group on specific accounts. Develop budgets and financial analyses; maintain appropriate defense and indemnity estimates. Recommend action and manage claims and accounts with full damage values that usually exceed $1,000,000.
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.
Auto req ID
440114BR
Minimum Education Required
High School/GED
Job_Category
Claims
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Education & Work Experience
Bachelor’s degree.
7 years of experience in toxic tort, latent injury, environmental claim and coverage determination.
Job Specific Or Technical Competencies
Analytical Thinking.
Communication.
Judgment & Decision-Making.
Teamwork.
Accountability.
Customer Focus.
Relationship Management.
Business Perspective.
Knowledge of Regulatory and Claim Environments.
Planning & Organizing.
Technology.
Working Independently.
Application of Departmental Practices & Procedures.
Licensing.
What is a Must Have?
High School Diploma or GED.
A minimum of 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. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing education credits as mandated.
City*
Richardson
State*
Texas
Job Code
Ins Insurance
Affiliate Sponsor
Travelers Insurance
Salary : $106,300 - $175,400
