Technical Specialist Auto Liability

The Travelers Companies Houston , TX 77020

Posted 10 months ago

Primary Job Duties & 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 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.

  • 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.

  • Utilizes diary management system to ensure that all claims are handled timely.

  • 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 disposition 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 manage 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/ co.

  • 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 continuing education credits as mandated.

  • Perform other duties as assigned.

Job Specific & Technical Skills & Competencies

  • Openness to the ideas and expertise of others actively solicits input and shares ideas.

  • Strong negotiation and customer service skills.

  • Intermediate Demonstrated coaching, influence and persuasion skills.

  • Strong 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.

  • Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.

  • Attention to detail ensuring accuracy

  • Job Specific Technical Competencies: analytical thinking, judgment/decision making, communication, negotiation, insurance contract knowledge, principles of investigation, value determination, settlement techniques, legal knowledge, and medical knowledge.

Job Summary

  • Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims.

  • 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.

  • May be a consultant or training resources and serves as a contact and technical resource to the field and our business partners.

  • This job does not manage staff. As part of the hiring process, this position requires the completion of an online pre-employment assessment.

  • Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

Education, Work Experience & Knowledge

  • Bachelor's Degree preferred.

  • 3 years bodily injury liability claim handling and/or litigation experience preferred.

  • Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills preferred.

  • Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims preferred.

  • Able to make independent decisions on most assigned cases without involvement of supervisor preferred.

  • Thorough understanding of business line products, policy language, exclusions, ISO forms, and effective claims handling practices preferred.

Physical Requirements

Operates standard office equipment

  • Continuously Sitting (can stand at will)

  • Continuously Standing

  • Frequently Use of Keyboards, Sporadic 10-Key

  • Continuously Other (List additional requirements as necessary) Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.

Minimum Qualifications

High School Degree or GED required with a minimum of 2 years bodily injury litigation claim handling experience.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Liability Major Case Claims Technical Specialist

Argo Group International Holdings Ltd.

Posted 2 weeks ago

VIEW JOBS 2/4/2020 12:00:00 AM 2020-05-04T00:00 Argo Group, through its operating subsidiaries, offers high-quality Commercial Property and Casualty (P&C) insurance products and services tailored to the needs of businesses and public entities. Our Argo US Claims team delivers superior financial results, technical expertise and customer experience to all stakeholders engaged in the claim process. We hire and develop the best people so we can deliver on the Argo claims promise. We are looking for a highly capable Liability Major Case Claims Technical Specialist to join our team and work in one any of our US offices. This role will directly report to the Vice President of Liability Major Claims based in Alpharetta and is responsible for providing technical support on major cases in litigation assigned to Adjusters throughout the US. The primary duties and responsibilities of the role are: * Under broad and limited management direction, work at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in adjudicating complex liability and litigated claims * Analyze claim forms, policies and endorsements, client instructions and other records to determine whether the loss falls within the policy coverage * Oversee defense panelist, including monitoring and evaluating operations and performance. * Conduct file reviews to ensure accuracy, attend mediations and settlements, and participate in pre-trail calls as necessary. * Other duties, such as investigating claims, managing diary, setting claim reserves, preparing reports, negotiating settlements, etc. * Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution. * Provide technical guidance in properly setting claim reserves. * Brainstorming and providing input on developing creative solutions which result in the best financial outcome. * Have an appreciation and passion for strong claim management. Core qualifications and requirements for this position include: * An Adjuster's License in one or more of the following states: FL, NY, SC or TX. * Advanced knowledge and skills to adjudicate general liability third party property damage claims of high complexity involving issues that are numerous and undefined. Such specialized knowledge and skills are typically obtained with ten or more years prior relevant experience. Experience in the legal environment with vendor management preferred. * A relentless desire to continually update your skill level through continuing education and self-development. * Bachelor's degree from an accredited university is required. A Juris Doctorate is strongly preferred. Please note four additional years of related work experience adjudicating general liability third party property damage claims beyond the minimum experience required above may be substituted in lieu of a degree. * Strong claim negotiation skills are a must. * An appreciation and passion for strong claim management. * We work in a fast-paced environment that is evolving constantly; so flexibility and the ability to thrive in change are important to be successful here. * Natural curiosity is key. * An appreciation and passion for strong claim management. * Approximately 10% travel is required * The ability to communicate clearly and with empathy on the telephone is crucial. The ability to read, speak, and write English fluently is required. The ability to read, speak, and write Spanish fluently is not required, but is a strong plus. * Being extremely detail oriented, organized, and able to effectively prioritize your workload, manage multiple tasks, and meet deadlines. * The ability to work independently and exercise sound judgment. * Expertise in creating innovative strategies to resolve claims to the best possible outcome. * A high level of energy and motivation. * A strong sense of accountability and pride in completing an excellent work product. * Excellent investigation, evaluation and strategic skills required. * The ability to articulate the financial value of your work at multiple responsibility levels both within Argo and at our clients' business. * Strong PC skills, including extensive experience working on Windows and good knowledge of MS Outlook, Word, and Excel. * The ability to be a team player that communicates and collaborates with peers to achieve common goals in a team environment. * Having good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). In addition, you'll want to make sure you embody our core values as they are the key to our success: * We desire to excel. * We are committed to our clients and to each other. * We have the courage to do the right thing. * We apply original thinking. We offer our employees: * An attractive Total Rewards package that includes: * Base pay and profit sharing. * Comprehensive benefits designed to protect and enhance your life and your dependents' lives by way of health and wellness plans, life insurance, a matching 401(k) Plan, generous PTO and an opportunity to become a shareholder at a 15% discount. * Argo Academy, a digital and instructor-led platform that helps us focus on continuous learning and which got us named in Training magazine as one of the Training Top 125 Companies. * Opportunities to support your local community though various outreach programs or by matching your gift to charitable causes by 150%. * A lucrative Employee Referral program that resulted in 30% of all new hires last year. About Argo Group * According to Forbes magazine, Argo Group is among America's 50 Most Trustworthy Financial Companies for the last two years and an A.M. Best Rating of 'A' (Excellent) for 13 consecutive years. * Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful. * Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. * We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses. * We allow fully performing employees the flexibility to work from their home up to two days a week once they have been fully trained. * Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas. * We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: At this time, Argo Group will not sponsor an applicant for employment authorization for this position. If you have a disability under the Americans with Disabilities Act or a similar law and you wish to discuss potential accommodations related to applying for employment at Argo Group, please contact our Benefits Department at 210-321-8400. To all recruitment agencies: Unless you have been requested to work on this position, or other positions with Argo Group, please do not forward any resumes to Argo Group employees. Argo Group is not responsible for any fees related to unsolicited resumes. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by federal, state and/or local laws. Applicants: For the most convenient application experience, please use the "Apply with LinkedIn" button. If manually entering, only include your most recent or relevant job information needed for this role. For either method, please attach your most current resume. Additional job history may be obtained if selected for the interview process. Argo Group International Holdings Ltd. Houston TX

Technical Specialist Auto Liability

The Travelers Companies