Claim Rep Outside Liability

Travelers • Pittsburgh, PA

5d • Onsite

About The Position

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 and expense management. 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 face-to-face same day contact with claimants and insureds; provides outstanding customer service. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. Completes field inspection of losses and capture accurate scope of damages, photographs, written estimates and/or computer assisted estimates. Determines appropriate settlement amount based on independent judgment, appropriate liability determination, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of proper jurisdictional rules, limits, and deductibles. This field position services Insureds/Agents in the Pittsburgh, PA area. The selected candidate must reside in the assigned territory. You will be issued a company vehicle for this position.

Requirements

• A minimum of two years of commercial and/or personal liability claim handling experience and one year bodily injury claim experience.
• Must be flexible to meet the service needs of our customers and business partners.
• Ability to handle multiple tasks simultaneously in a fast paced environment.
• Independent decision making ability.
• Valid drivers license and good driving record.
• File Management.
• Business Knowledge/Technology.
• Customer Focus.
• Relationship Management.
• Change Management.
• Decision Making.
• Leadership In A Matrix Environment.
• Strategic Thinker.
• Creativity.
• Initiative.
• Collaboration.
• Communicates Effectively And Influences Others.
• Trend Analysis.
• Project Management.
• 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.

Nice To Haves

• 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.

Responsibilities

• Timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case.
• 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 Subro, Risk Control, 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.
• Keep effective diary management system to ensure that all claims are handled timely.
• Evaluate liability and damages exposure, and establish proper indemnity and expense reserves.
• 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 cost-effective resolution.
• Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures.
• Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
• 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 timely to next level claim professional or Major Case Unit.
• 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.
• Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws.
• Provide quality customer service and ensure file quality.
• Share accountability with business partners to achieve and sustain quality results.
• Perform other duties as assigned.

Benefits

• Health Insurance : Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
• Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
• Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
• Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
• Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed