Major Case Specialist - Auto Liability - Diamond Bar, CA
About The Position
The Major Case Specialist, Auto Liability, investigates, evaluates, reserves, negotiates, and resolves the office or department’s most complex, high-exposure, and highest-severity injury and property damage claims, within appropriate authority and oversight. The specialist serves as an expert technical resource to claim professionals, business partners, customers, and other stakeholders. The role manages claims and litigation from first notice of loss through resolution, including complex injury and property damage claims involving coverage disputes and contractual indemnity issues. It also involves coordinating investigations and evaluations, developing resolution and litigation strategies, maintaining claim records, and working with legal, underwriting, and other departments. The position may require overnight travel to mediations, trials, arbitrations, and similar events. Relevant insurance licenses must be acquired and maintained within three months of starting.
Requirements
- High school diploma or GED.
- At least four years of bodily injury liability, property damage liability, or comparable claim-related experience.
- Acquire and maintain relevant insurance license(s) within three months of starting, in accordance with state and Travelers’ requirements.
Nice To Haves
- Bachelor’s degree.
- Five or more years of complex bodily injury claim and litigation experience.
- Active adjuster license, where required by state law.
- Experience with claims management and estimating software, and advanced skills in Microsoft Office and enterprise technology systems and platforms.
- Exceptional written and verbal communication skills, including the ability to synthesize, interpret, and explain complex information to multiple stakeholders.
- Ability to make independent decisions, handle complex claims, evaluate severe losses, and negotiate settlements strategically.
- Exceptional customer service and stakeholder relationship management skills.
- Strong attention to detail and organizational skills, with the ability to manage a high-volume workload and prioritize effectively.
- Expert negotiation and conflict resolution skills and ability to apply strategic claim-handling practices.
- Ability to manage stress, navigate difficult situations, remain composed and professional under pressure, and take accountability for decisions.
- Expert knowledge of insurance principles, policy language, exclusions, ISO forms, and business-line products.
- Strong understanding of state and federal insurance regulations, fair claims practices legislation, and legal requirements, with the ability to apply them to complex claims.
- Ability to learn quickly from experience and apply learning to new situations with speed and flexibility.
Responsibilities
- Independently manage and oversee an active caseload of injury and/or property damage claims and litigation from first notice of loss through resolution, within the role’s level of authority.
- Investigate claims, gather evidence, assess liability, determine the extent of damages, and establish appropriate reserves.
- Evaluate claim information and documentation to make informed coverage and resolution decisions.
- Negotiate with claimants, legal representatives, and other parties to reach fair and equitable resolutions.
- Develop and execute advanced resolution strategies and coordinate internal and external resources for comprehensive claim investigations and evaluations.
- Prepare and present detailed reports on claim status, trends, and outcomes to senior management.
- Coordinate claim handling with legal, underwriting, and other departments.
- Partner with Counsel to develop, direct, and execute litigation management strategies.
- Maintain comprehensive and accurate records of claim activities, communications, and decisions.
- Identify opportunities to improve or enhance best practices and offer creative solutions.
- Adapt to new technology implementations, system upgrades, and digital tool rollouts, particularly AI-related tools, while maintaining productivity and service quality.
- Acquire and maintain relevant insurance licenses within three months of starting, as required by state and Travelers’ requirements.
- Travel, potentially including overnight stays, to attend mediations, trials, arbitrations, and similar events, as needed.
- Perform other duties as assigned.
Benefits
- Eligible for performance-based cash incentive awards.
- Eligible for a sign-on bonus of up to $20,000.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
