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Construction Senior Technical Specialist

Travelers

Diamond Bar, CA, US
Full-time, Hybrid
Posted 1 week ago
Hybrid

About the role

Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims.

Responsibilities

  • Directly handles assigned severity claims.
  • Provides quality customer service and ensures 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 investigates 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.
  • Interviews witnesses and stakeholders; takes necessary statements, as strategically appropriate.
  • 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 damage documentation.
  • Maintains claim files and documents claim file activities in accordance with established procedures.
  • Utilizes evaluation documentation tools in accordance with department guidelines.
  • Proactively creates Claim File Analysis (CFA) by adhering to quality standards.
  • Utilizes diary management system to ensure that all claims are handled timely.
  • Evaluates liability & damages exposure at required time intervals.
  • Establishes and maintains proper indemnity and expense reserves.
  • Recommends appropriate cases for discussion at roundtable.
  • Attends and/or present at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
  • Applies the Company’s claim quality management protocols and Best Practices to all claims; documents the rationale for any departure from applicable protocols with or without assistance.
  • Develops and employs creative resolution strategies.
  • Responsible for prompt and proper disposition of 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.
  • Performs other duties as assigned.

Requirements

  • Bachelors Degree preferred.
  • 5 years equivalent business experience preferred.
  • Advanced level knowledge and skill in claim and litigation.
  • Basic working level knowledge and skill in various business line products.
  • Strong negotiation and customer service skills.
  • 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.
  • Extensive claim and/or legal experience and 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 actively solicits input and shares ideas.
  • Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices
  • Demonstrated 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.
  • 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

Benefits

  • Health Insurance
  • 401k matching
  • Paid Time Off
  • Wellness Program
  • Volunteer Encouragement

About the Company

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.

Job Details

Salary Range

$91,800 - $151,600/yearly

Location

Diamond Bar, CA, US

Employment Type

Full-time, Hybrid

Original Posting

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