Major Case Specialist, Strategic Resolution Group

Travelers•Houston, TX

About The Position

We are looking for a motivated and enthusiastic team player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims and/or excess claims that present significant financial exposures and multiple factors impacting complexity and severity. With general supervision, you will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage issues. Aided by your expertise, you will develop strategies to successfully resolve these claims in the most efficient and effective way while meeting established protocols and delivering optimal customer service. You will apply your highly advanced knowledge of legal issues and applicable case law in multiple jurisdictions. Your case assignments will include multi-plaintiff and multi-jurisdiction litigation with the potential for shaping future legal precedent in the areas of coverage and liability, as well as nationwide valuation trends. You will be responsible for cases involving emerging legal trends and liability theories. The position may include training, mentoring, and technical coaching, as well as assisting with interviewing and hiring. May serve as a technical coach for claim professionals handling their own inventory of complex claims, building knowledge of those matters. Provide guidance and expertise in forging effective relationships. Provide perspective and ensure consistency in account management as appropriate.

Requirements

High School Diploma or GED.
4 years experience in environmental claim and coverage determination or in handling severe, highly complex liability claims and litigation or comparable claim litigation or legal experience, OR 4 years of bodily injury or property damage claim handling experience or comparable claim litigation or legal experience plus 3 years of SRG experience.
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 education credits as mandated.

Nice To Haves

Bachelor’s degree.
7+ years of experience in toxic tort, latent injury, environmental claim and coverage determination.
Analytical Thinking.
Communication.
Judgment & Decision-Making.
Teamwork.
Accountability.
Customer Focus.
Relationship Management.
Business Perspective.
Knowledge of Regulatory and Claim Environments.
Planning & Organizing.
Technology.
Working Independently.
Application of Departmental Practices & Procedures.
Licensing.

Responsibilities

Authority - Payment and resolution on individual matters up to $500,000. Manage total exposure by claim or account that often greatly exceeds $1,000,000.
COVERAGE RESEARCH AND ANALYSIS: Responsible for coverage analysis for claims and accounts with full damage values that often greatly exceed $1,000,000. Claims typically involve complex trigger, allocation, limits, and exclusion issues for which incorrect analysis could result in coverage beyond the original intent. Responsible for researching the existence and application of historical policies that involve a variety of policy types and versions issued by multiple legacy companies. Apply knowledge of relevant legal concepts in applicable jurisdictions. Prepare coverage recommendations and present to management. Effectively communicate and defend coverage positions to policyholders or their representatives. Negotiate resolution of coverage issues with other parties including insureds, other carriers and plaintiff's counsel.
LIABILITY INVESTIGATION AND ANALYSIS: Conduct thorough investigation and analysis of claim facts to determine liability. Apply knowledge of relevant legal concepts and the litigation environment in multiple jurisdictions to evaluate damages and develop appropriate course of action. Assign appropriate value to factors impacting severity. Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
LITIGATION MANAGEMENT: Proactively develop and execute a strategic file management plan that achieves optimal file resolution, including as appropriate: research and recommendation of counsel; litigation and resolution strategies; management of loss adjustment expenses; engagement of appropriate experts and consultants; use of proper settlement and release terms. Apply critical and strategic thinking in managing files and accounts. Attend meetings with counsel, settlement conferences, mediations and trials. Make strategic decisions regarding case resolution to balance global risk on an account and/or jurisdictional basis. Drive results to appropriate resolution for policyholders and Travelers.
ACCOUNT MANAGEMENT: Apply an in-depth knowledge and understanding of assigned accounts in actions and decisions. Maintain effective working relationships with other account contacts. Ensure claims and settlement agreements are handled in a consistent manner. Responsible for decisive and broad reaching regular communication and reporting to coordinate/align actions on assigned accounts. Take a leadership role in meetings, presentations and negotiations with other contacts. Responsibilities include ensuring appropriate handling of accounts by individuals that you may coach. Complete account reviews for asbestos and other claim types encompassing coverage, cost sharing, liability, past performance and future projections. Present data and projections to senior management, actuaries, and legal staff.
FINANCIAL ANALYSIS: Estimate financial exposures on an individual claim and account basis. Make presentations to actuarial group on specific accounts. Develop budgets and financial analyses; maintain appropriate defense and indemnity estimates. Recommend action and manage claims and accounts with full damage values that usually exceed $1,000,000.
COACHING: The position may include training, mentoring, and technical coaching, as well as assisting with interviewing and hiring. May serve as a technical coach to claim professionals handling their own inventory of complex claims, building knowledge of those matters. Provide guidance and expertise in forging effective relationships. Provide perspective and ensure consistency in account management as appropriate.
FILE MAINTENANCE AND ADMINISTRATIVE COMPLIANCE: Maintain well-documented and organized claim files. Maintain proficiency with SRG claim systems and databases. Adhere to applicable requirements for data accuracy. Efficiently manage file inventory.
PROJECT LEADERSHIP: Lead or represent the unit/office on special projects at request of management. 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.

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