Talent.com
No longer accepting applications
Complex Claim Representative - Construction Liability

Complex Claim Representative - Construction Liability

TravelersLong Beach, CA, US
20 hours ago
Job type
  • Full-time
Job description

Claim Specialist

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 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

This role is eligible for a sign-on bonus. Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability 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. Provides consulting and training resources, and serves as a contact and technical resource to the field and our business partners. This job does not manage staff.

What Will You Do?

  • 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. Interview witnesses and stakeholders; take 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.
  • At required time intervals, evaluate liability & damages exposure.
  • 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.
  • Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.
  • 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 employ 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.
  • Perform other duties as assigned.

What Will Our Ideal Candidate Have?

  • Bachelor's Degree.
  • 5 years equivalent business experience.
  • 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.
  • What Is a Must Have?

  • High School Degree or GED.
  • 3 years of liability claim handling experience and / or comparable litigation claim experience.
  • 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.
  • What Is in It for You?

  • 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.
  • Employment Practices

    Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.

    In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.

    If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.

    Travelers reserves the right to fill this position at a level above or below the level included in this posting.

    To learn more about our comprehensive benefit programs please visit http : / / careers.travelers.com / life-at-travelers / benefits / .

    Create a job alert for this search

    Construction Representative • Long Beach, CA, US

    Related jobs
    • Promoted
    New England Claims Specialist

    New England Claims Specialist

    CorVelLos Angeles, CA, US
    Full-time
    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Show moreLast updated: 1 day ago
    • Promoted
    Claim Specialist - Property Field Inspection

    Claim Specialist - Property Field Inspection

    State FarmSanta Monica, CA, United States
    Full-time
    US-CA-Santa Monica;US-CA-El Segundo;US-CA-Pacific Palisades;US-CA-Marina del Ray.Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we...Show moreLast updated: 30+ days ago
    General Liability Adjuster

    General Liability Adjuster

    AVONRISKLos Angeles, CA, CA, US
    Full-time
    Quick Apply
    General Liability Claims Adjuster MUST Reside in California & MUST have California General Liability Claims Experience.General Liability Claims Adjuster - Assist a Dynamic Team!.We'...Show moreLast updated: 23 days ago
    • Promoted
    Director, WC Claims Zonal Operations

    Director, WC Claims Zonal Operations

    AmTrust Financial ServicesSan Pedro, CA, US
    Full-time
    Director, WC Claims Zonal Operations.AmTrust Worker's Comp Claims is hiring a position for Director, WC Claims Zonal Operations. These positions can be based in an office or remotely.Positions work ...Show moreLast updated: 9 days ago
    • Promoted
    CA Senior Claims Specialist

    CA Senior Claims Specialist

    CorVelLos Angeles, CA, US
    Full-time
    The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determin...Show moreLast updated: 1 day ago
    • Promoted
    Triage Specialist (Commerical Claims Intake)

    Triage Specialist (Commerical Claims Intake)

    Argonaut Management Services, IncLos Angeles, CA, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Claims Specialist - Workers Compensation - West Region

    Associate Claims Specialist - Workers Compensation - West Region

    Liberty Mutual InsuranceOrange, California, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $49000.Job Category : Claims Description Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Clai...Show moreLast updated: 2 days ago
    • Promoted
    General Liability Associate

    General Liability Associate

    Wilson Elser Moskowitz Edelman & Dicker LLPLos Angeles, CA, United States
    Full-time
    Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms. We're also Mansfield Certified P...Show moreLast updated: 30+ days ago
    • Promoted
    General Liability Property Damage Claims Manager

    General Liability Property Damage Claims Manager

    Argonaut Management Services, IncLos Angeles, CA, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 16 days ago
    • Promoted
    Large Loss Property Field Claims Adjuster (Southern CA)

    Large Loss Property Field Claims Adjuster (Southern CA)

    American Family InsuranceLos Angeles, CA, United States
    Full-time
    Lead level role that investigates and maintains highly complex property claims.Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims.Demonstrate experie...Show moreLast updated: 16 days ago
    • Promoted
    Sr Claim Examiner- WC

    Sr Claim Examiner- WC

    Tech Providers Inc.Brea, CA, US
    Temporary
    Note : Must have 4 years' experience handling CA WC claims.Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to...Show moreLast updated: 15 days ago
    General Liability Claims Examiner II

    General Liability Claims Examiner II

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. This position resolves claims in accordance with state specific guidelin...Show moreLast updated: 30+ days ago
    • Promoted
    General Liability Associate

    General Liability Associate

    Wilson Elser - AttorneysCosta Mesa, CA, US
    Full-time
    Founded in 1978, we rank among the top 100 law firms identified by The American Lawyer and 36 in the National Law Journal's survey of the nation's largest law firms.We're also Mansfield...Show moreLast updated: 30+ days ago
    • Promoted
    Outside Property Claim Representative

    Outside Property Claim Representative

    Los Angeles StaffingLos Angeles, CA, US
    Full-time
    Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17...Show moreLast updated: 1 day ago
    Claims Representative

    Claims Representative

    BCforwardUSA, California, Long Beach
    Full-time
    BCforward is currently seeking a highly motivated Claims Representative for an opportunity in Long Beach, CA 90806!.Please note this is the target date and it is subject to change.BCforward will se...Show moreLast updated: 23 days ago
    Senior General Liability Examiner

    Senior General Liability Examiner

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    The Senior General Liability Examiner conducts all work activities for managing basic to high exposure / complex claims, including investigation and the timely resolution of cases in alignment with r...Show moreLast updated: 30+ days ago
    • Promoted
    Senior General Liability Bodily Injury Technical Claims Specialist

    Senior General Liability Bodily Injury Technical Claims Specialist

    Argonaut Management Services, IncLos Angeles, CA, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    General Liability Claims Examiner II (P1-1885579-1)

    General Liability Claims Examiner II (P1-1885579-1)

    Panda Restaurant GroupRosemead, CA, US
    Full-time +1
    General Liability Claims Examiner II.The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. This position resolves claims in ac...Show moreLast updated: 30+ days ago