Travelers Claim Rep Specialty Property in Morristown, New Jersey
Claim Rep Specialty Property
Primary Job Duties & Responsibilities:
Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of property coverage, damages, and contribution potential. Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves. Utilizes evaluation documentation tools in accordance with department guidelines. Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives. Recognizes and implements alternate means of resolution. May manage litigated claims. Develops litigation plan with staff or panel counsel, track and control legal expenses. Assures appropriate resolution. Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the analysis and settlement options. Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. Appropriately deals with information that is considered personal and confidential. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers. Represents the company as a technical resource, attends legal proceedings as needed, act within established professional guidelines as well as applicable state laws. Provides quality customer service and ensures file quality. Shares accountability with business partners to achieve and sustain quality results. 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 continuing education credits as mandated. Perform other duties as assigned.
Job Opening ID:
Weekend work hours - Occasionally Holiday work hours (Federal and religious) - Occasionally Travel - Occasionally
Equal Employment Opportunity Statement:
Travelers is an equal opportunity employer.
Job Specific & Technical Skills & Competencies:
Analytical Thinking- Intermediate Judgment/Decision Making- Intermediate Communication- Intermediate Negotiation- Intermediate Insurance Contract Knowledge- Intermediate Principles of Investigation- Intermediate Value Determination- Intermediate Settlement Techniques- Intermediate Medical Knowledge- Intermediate
Handles 1st party Property claims of low to medium severity and complexity as assigned.
Retains vendors to complete field inspections of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims.
Establishes timely and accurate claim and expense reserves.
Negotiates and conveys claim settlements within authority limits.
Writes denial letters, Reservation of Rights and other complex correspondence.
Controls damages through proper usage of cost containment tools.
Meets all quality standards and expectations per Best Practices.
Maintains an effective diary system and document claim file activities in accordance with established procedures.
Manages file inventory to ensure timely resolution of cases.
Handles files in compliance with state regulations, where applicable.
Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
Identifies and refers claims with MCU exposure to the supervisor.
Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit.
Performs administrative functions such as expense accounts, time off reporting, etc. as required.
Other duties as assigned.
The position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Property claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This job does not manage others This job works under General Supervision: Incumbent independently performs a variety of duties, including potentially complex duties within established policy guidelines; responsible for a defined set of assignments (e.g. assigned customers, claims or other specified set of responsibilities); is expected to set priorities and meet specific goals and objectives of the function or unit. (Typically pertains to advanced/operational, senior professional, unit supervisor)
Education, Work Experience & Knowledge:
Bachelor's Degree preferred. 2 years business experience preferred. Demonstrated knowledge and ability in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills. Strong verbal and written communication skills. Strong keyboard skills and Windows proficiency, including Excel and Word Demonstrated good organizational skills with the ability to prioritize and work independently. Demonstrated strong written, verbal and interpersonal communication skills including the ability to convey and receive information effectively.
Operates standard office equipment - Continuously Sitting (can stand at will) - Continuously Standing - Frequently Lifting items up to 38 pounds - Occasionally Climbing unprotected heights (ladder, rooftop, stairs, loading dock) - Occasionally Use of Keyboards, Sporadic 10-Key - Continuously Driving - Occasionally Working in a confined or restricted area - Occasionally Other - Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.
High School Degree or GED required. A minimum of one year liability or property claim handling experience required.
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Edison - New Jersey - United States
Houston - Texas - United States, Morristown - New Jersey - United States, Nationwide, New York City - New York - United States, Seattle - Washington - United States
We are committed to valuing the diversity that exists among our workforce, our business partners, our customers and our communities. With respect to our workforce, we are committed to not only increasing diversity in our hiring at all levels but also fostering an inclusive environment where all employees, regardless of race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by law, can develop and thrive.