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Major Case Specialist - Inland Marine Claim

Naperville, IL

Company Information
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.

Job Summary
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims nationally, with a specific emphasis on Motor Truck Cargo and Warehouse Liability claims that result in litigation. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. 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 position does not manage staff.

Primary Job Duties & Responsibilities
Directly handle assigned severe claims. 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. Consult with Manager on use of Claim Coverage Counsel as needed. 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 Subrogation, Risk Control, nurse consultants 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. Maintain claim files and document claim file activities in accordance with established procedures. Utilize evaluation documentation tools in accordance with department guidelines. Proactively draft and review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. Establish and maintain proper indemnity and expense reserves. Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. Recommend appropriate cases for discussion at roundtable. Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. Develop and employ creative resolution strategies. 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. Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. Apply litigation management through the selection of counsel, evaluation and direction of claim litigation strategy. Track and control legal expenses to assure coast-effective resolution. Attend, when necessary, settlement meetings, mediations and trials.

Minimum Qualifications
High School Degree or GED required; In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) are required to be obtained within three months of starting the job.

Education, Work Experience & Knowledge
Bachelor's Degree preferred. 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims preferred. Extensive working level knowledge and skill in various business line products including Motor Truck Cargo and Warehouse Liability Legal experience preferred. Excellent negotiation and customer service skills. Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. Able to make independent decisions on most assigned cases without involvement of supervisor. Openness to the ideas and expertise of others and actively solicits input and shares ideas. Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. Demonstrated strong coaching, influence and persuasion skills. Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. Can adapt to and support cultural change. Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.

Job Specific & Technical Skills & Competencies
Analytical Thinking - Advanced Judgment/Decision Making - Advanced Communication - Advanced Negotiation - Advanced Insurance Contract Knowledge - Advanced Principles of Investigation - Advanced Value Determination - Advanced Settlement Techniques - Advanced Legal Knowledge - Advanced Medical Knowledge - Intermediate

Environmental/Work Schedules/Other
25-35% national travel to attend settlement meetings, mediations and trials.

Physical Requirements
Operates standard office equipment - Continuously Sitting (can stand at will) - Continuously Standing - Frequently Use of Keyboards, Sporadic 10-Key - Continuously

Equal Employment Opportunity Statement
Travelers is an equal opportunity employer.
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About Travelers

The Travelers Companies, Inc. (NYSE: TRV) is a leading property casualty insurer selling primarily through independent agents and brokers. The company's diverse business lines offer its global customers a wide range of coverage in the auto, home and business settings. A component of the Dow Jones Industrial Average, Travelers has more than 30,000 employees and generated revenues of approximately $25 billion in 2010.