Subrogation Major Case Specialist - Property

Claim$91,800.00 - $151,500.001Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex property subrogation 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 and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff.

• Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
• Manages litigated claims.
• Utilization of Claim Legal Subrogation Counsel as needed.
• Complete outside investigation as needed per case specifics.
• Handle a variety of property subrogation claims throughout the United States, including potential liability risk transfer claims and/or other specialty lines claims like Boiler and Machinery, Northland, Ocean Marine, and Boat and Yacht claims.
• Recognize and implement alternate means of resolution.
• CLAIM HANDLING:
• Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
• Negotiate disposition of claims with appropriate parties.
• At required time intervals, evaluate liability, damages and recovery potential.
• Responsible for prompt and proper disposition of all claims within delegated authority.
• Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
• Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved recovery and expense management outcomes.
• Directly handle assigned severe property subrogation claims.
• Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Liability, Risk Control, nurse consultants, Investigative Services, and other experts.
• Apply the Company's claim quality management protocols and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance.
• Utilize diary management system to ensure that all claims are handled timely.
• Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Perform other duties as assigned.
• Recommend appropriate cases for discussion at roundtable.
• Establish and maintain proper indemnity and expense reserves as appropriate.
• Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• OTHER ACCOUNTABILITIES:
• Utilize evaluation documentation tools in accordance with department guidelines.
• 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.
• Develop and employ creative resolution strategies.
• Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
• Apply litigation management through the selection of counsel, evaluation and direction of claim and litigation. Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims.
• INFLUENCE AND COMMUNICATION:

• Can adapt to and support cultural change.
• Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims.
• Medical Knowledge - Intermediate
• Insurance Contract Knowledge - Advanced
• Judgment/Decision Making - Advanced
• Excellent negotiation and customer service skills.
• Communication - Advanced
• Able to make independent decisions on most assigned cases without involvement of supervisor.
• Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
• Value Determination - Advanced
• Settlement Techniques Advanced
• Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices.
• Bachelor's Degree preferred. 10+ years claim handling experience with 5+ years experience handling serious injury and complex liability claims required.
• Principles of Investigation - Advanced
• Legal Knowledge - Advanced
• Demonstrated strong coaching, influence and persuasion skills.
• Analytical Thinking - Advanced
• Openness to the ideas and expertise of others and actively solicits input and shares ideas.
• Extensive working level knowledge and skill in various business line products.
• Negotiation - Advanced
• Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management 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.

• High School Degree or GED required with a minimum of 5 years experience handling serious injury and complex liability claims required.
• High School Diploma or GED required

• Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
• 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.
• Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.
• Wellness Program: The Travelers wellness program is comprised of tools and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you’re eligible for five free counseling sessions with a licensed therapist.
• 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.