Liability Claim Specialist
2 months ago
We are seeking a highly skilled Liability Claim Professional to join our team at 570 The Dominion of Canada General. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving assigned claims in accordance with Best Practices.
Key Responsibilities- Directly handle assigned severe GL claims, providing quality customer service and ensuring file quality timely coverage analysis and communication with insureds.
- Consult with Manager on the use of Claim Coverage Counsel as needed and directly investigate each GL claim through prompt and strategically-appropriate contact with policyholders, claimants, and other stakeholders.
- Actively engage in the identification, selection, and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims.
- Verify the nature and extent of injury or damage by obtaining and reviewing appropriate records and damages documentation.
- Maintain GL claim files and document claim file activities in accordance with established procedures.
- Proactively review CFAs for adherence to quality standards and trend analysis.
- Utilize diary management system to ensure that all claims are handled timely and establish and maintain proper indemnity and expense reserves.
- Recommend appropriate cases for discussion at roundtable and attend and/or present at roundtables/authority discussions for collaboration of technical expertise.
- Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
- Apply the Company's claim quality management protocols, Best Practices, and metrics to all claims and develop and employ creative resolution strategies.
- Responsible for prompt and proper disposition of all claims within delegated authority and negotiate disposition of GL claims with insureds and claimants or their legal representatives.
- Manages litigated claims, developing litigation plans with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
- Track and control legal expenses to assure cost-effective resolution and effectively and efficiently manage both allocated and unallocated loss adjustment expenses.
- Attend depositions, mediations, arbitrations, pre-trials, trials, and all other legal proceedings, as needed, and 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.
- Appropriately deal with information that is considered personal and confidential and fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions.
- Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable laws, and actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength.
- Evaluate all claims for recovery potential, directly handle recovery efforts, and/or engage and direct Company resources for recovery efforts.
- University/College degree or equivalent in business experience preferred.
- 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.
- Extensive claim and/or legal experience and thus the 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.
- In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with provincial and Travelers requirements.
- Health Insurance: Employees and their eligible family members – including spouses, partners, and children – are eligible for coverage from the first day of employment.
- Retirement: Travelers provides a core contribution of 3% of your total eligible earnings to your Deferred Profit Sharing Plan (“DPSP”). Travelers also matches your savings plan contribution dollar-for-dollar up to 5% of base pay.
- Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off (“PTO”) annually, plus the opportunity to purchase additional days to allow for up to a total of 36 PTO days per year. You will also receive twelve paid company Holidays.
- 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 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.
Travelers is an equal opportunity employer. We are committed to providing accommodation to persons with disabilities. If you require accommodation during the recruitment or interview process, we will work with you to accommodate your needs.
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