Case manager serp_jobs.h1.location_city

Claims Investigator

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 160 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.

Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability 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. Travelers offers a hybrid work location model that is designed to support flexibility.

What Will You Do?

Claim Handling :

• Directly handle assigned severe claims when Travelers has coverage of $2 million or less and file exposure is greater than $500,000.
• 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.
• Consult 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.
• Complete outside investigation as needed per case specifics.
• Utilize evaluation documentation tools in accordance with department guidelines.
• Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
• Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
• Establish and maintain proper indemnity and expense reserves.
• Recognize and implement alternate means of resolution.
• Manages litigated claims.
• Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
• Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
• Recognize cases, based on severity / complexity protocols, that should be transferred to another level of claim professional and refer on a timely basis.
• Evaluate all claims for recovery potential; directly handle recovery efforts and / or engage and direct Company resources for recovery efforts.
• May assist underwriting business partners in marketing and account contact efforts.
• Attend and / or present at roundtables / authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
• Share experience and deep knowledge of creative resolution techniques to improve the claim results of others.

Leadership :

Communication / Influence :

Other Responsibilities :

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 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