Sr. Claim Representative Construction Liability (Diamond Bar)

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$83,300.00 - $137,400.00

What Is the Opportunity?

We offer a hybrid work environment where employees may elect to work up to 2 days per week at home. This position can be located in any of the following offices : - Irvine - Rancho Cordova - San Diego - Walnut Creek - Diamond Bar

Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related 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 severe claims.
• Provides quality customer service and ensures file 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 investigate 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.
• Completes outside investigation as needed per case specifics.
• 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 damages documentation.
• Maintains claim files and documents claim file activities in accordance with established procedures.
• Utilizes evaluation documentation tools in accordance with department guidelines.
• Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
• Utilizes diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
• Establishes and maintains proper indemnity and expense reserves.
• Recommends appropriate cases for discussion at roundtable.
• Attends and / or presents 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.
• Develops and employs creative resolution strategies.
• Promptly and properly disposition 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.
• Attends depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
• Updates appropriate parti.
• Perform other duties as assigned.

What Will Our Ideal Candidate Have?

What is a Must Have?

What Is in It for You?

Employment Practices

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

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

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