Claim Rep Outside Liability

Conducts coverage investigation and analysis, outside liability investigation and analysis, evaluation of bodily injury and property damage claims, and negotiation and resolution of PL and CL auto bodily injury, homeowner's liability, and commercial general liability claims. Makes facetoface same day contact with claimants and insureds; provides outstanding customer service, and adheres to company Best Practices. Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. PRIMARY DUTIES: Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consult with Unit Manager on use of Claim Coverage Counsel. Investigate each claim through prompt 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. Take necessary statements. Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts. Request through Unit Manager and coordinate the results of their efforts and findings. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure, and establish proper indemnity & expense reserves. Utilize evaluation documentation tools in accordance with department guidelines. Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolution May manage litigated claims. Develop litigation plan with staff or panel counsel, track and control legal expenses. Assure costeffective resolution. Attend depositions, mediations, arbitrations, pretrials, trials and all other legal proceedings, as needed. Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures. Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognize cases based on severity protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis. Appropriately deal with information that is considered personal and confidential. Compliance with Claim Department's Best Practices. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. Handles minor or simple litigation Manage litigation expenses and payout, important for development. EDUCATION/COURSE OF STUDY: College degree or equivalent in business discipline preferred. WORK EXPERIENCE: A minimum of two years of auto and homeowner (or GL) claim handling experience and one year bodily injury claim experience. Litigation experience a plus. Prefer candidates with experience in negotiating bodily injury claim settlements with directly with claimants and attorneys. COMMUNICATION SKILLS: Poised, polished communication skills. COMPUTER SKILLS: Strong keyboarding skills and basic PC familiarity. OTHER: Ability to work independently in a virtual home office environment. Must be flexible to meet the service needs of our customers and business partners. Strong negotiation skills. Ability to handle multiple tasks simultaneously in a fast paced environment. Independent decision making ability. All candidates must have valid driver's license and clean motor vehicle record for past three years. Auto appraisal skills are also a plus. This position requires either the use of a company car or 6,000+ reimbursable miles. Therefore, any offer of employment will be contingent upon receipt of an acceptable Motor Vehicle Report. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills File management Technical skills Customer focus/communication Relationship Management Technology Travelers is an equal opportunity employer. We actively promote a drugfree workplace. Return to Previous Page