Major Case Specialist, Construction Defect - Tampa FL
VetJobs, Tampa, FL, United States
Job Description
ATTENTION MILITARY AFFILIATED JOB SEEKERS – Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Job Category
Claim
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
$104,000 - $171,700
Target Openings: 1
What Is the Opportunity?
This role is eligible for a sign on bonus up to $20,000.
What Will You Do?
Claim Handling
Directly handle assigned severe claims.
Full damage value for average claim: $500,000 to several million dollars.
Provide quality customer service, ensure file quality, timely coverage analysis and communication with insureds.
Work with Manager on use of Claim Coverage Counsel as needed.
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.
Interview witnesses and stakeholders; take necessary statements.
Complete outside investigation as needed per case specifics.
Engage in identification, selection and direction of appropriate internal or external resources, such as subrogation, risk control, nurse consultants, fire or fraud investigators, and other experts.
Verify the nature and extent of injury or property damage by obtaining and reviewing records and documentation.
Maintain claim files and document claim file activities per procedures.
Develop and employ creative resolution strategies.
Promptly and properly dispose all claims within delegated authority.
Negotiate disposition of claims with insureds and claimants or their legal representatives.
Recognize and implement alternate means of resolution.
Manage litigated claims; develop litigation plan with staff or panel counsel, including discovery and legal expenses.
Utilize evaluation documentation tools per department guidelines.
Proactively review Claim File Analysis for quality standards and trend analysis.
Use diary management system to ensure timely handling; evaluate liability and damages exposure at required intervals.
Establish and maintain proper indemnity and expense reserves.
Communications/Influence
Provide guidance to underwriting business partners regarding accuracy, adequacy, and potential changes to loss reserves on assigned claims.
Recommend appropriate cases for roundtable discussion.
Attend and/or present at roundtables or authority discussions for collaboration and improved payout on indemnity and expense.
Share experience and knowledge of creative resolution techniques to benefit others.
Apply company’s claim quality management protocols and metrics; document rationale for deviations.
Other Accountabilities
Apply litigation management through selection of counsel and evaluation.
Perform other duties as assigned.
Potential for travel up to 30%.
Minimum Education Required
High School/GED
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor’s Degree.
10+ years claim handling experience with 5‑7 years handling serious injury and complex liability claims.
Extensive working‑level knowledge and skill in various business line products.
Excellent negotiation and customer service skills.
Advanced skills in coverage, liability and damages analysis; expert understanding of litigation processes in state and federal courts; expert litigation management skills.
Extensive claim and/or legal experience for evaluating severe and complex claims.
Ability to make independent decisions on most assigned cases.
Openness to ideas and expertise of others; solicits input and shares ideas.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
Demonstrated strong coaching, influence and persuasion skills.
Advanced written and verbal communication skills.
Adapt to and support cultural change.
Strong technology aptitude and use of business technology tools.
Advanced analytical thinking, judgment/decision making, communication, negotiation, insurance contract knowledge, principles of investigation, value determination, settlement techniques, litigation management, medical terminology and procedural knowledge.
What is a Must Have?
10+ years claim handling experience or related experience with 3‑5 years handling serious injury and complex liability claims.
High School Degree or GED required.
May be required to obtain and maintain Property/Causalty Adjuster License(s) within three months of starting the job to comply with state and Travelers requirements.
Location
Tampa, Florida
Job Information
Auto req ID: 470366BR
Job Code: Ins Insurance
Affiliate Sponsor: Travelers Insurance
#J-18808-Ljbffr
ATTENTION MILITARY AFFILIATED JOB SEEKERS – Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Job Category
Claim
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
$104,000 - $171,700
Target Openings: 1
What Is the Opportunity?
This role is eligible for a sign on bonus up to $20,000.
What Will You Do?
Claim Handling
Directly handle assigned severe claims.
Full damage value for average claim: $500,000 to several million dollars.
Provide quality customer service, ensure file quality, timely coverage analysis and communication with insureds.
Work with Manager on use of Claim Coverage Counsel as needed.
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.
Interview witnesses and stakeholders; take necessary statements.
Complete outside investigation as needed per case specifics.
Engage in identification, selection and direction of appropriate internal or external resources, such as subrogation, risk control, nurse consultants, fire or fraud investigators, and other experts.
Verify the nature and extent of injury or property damage by obtaining and reviewing records and documentation.
Maintain claim files and document claim file activities per procedures.
Develop and employ creative resolution strategies.
Promptly and properly dispose all claims within delegated authority.
Negotiate disposition of claims with insureds and claimants or their legal representatives.
Recognize and implement alternate means of resolution.
Manage litigated claims; develop litigation plan with staff or panel counsel, including discovery and legal expenses.
Utilize evaluation documentation tools per department guidelines.
Proactively review Claim File Analysis for quality standards and trend analysis.
Use diary management system to ensure timely handling; evaluate liability and damages exposure at required intervals.
Establish and maintain proper indemnity and expense reserves.
Communications/Influence
Provide guidance to underwriting business partners regarding accuracy, adequacy, and potential changes to loss reserves on assigned claims.
Recommend appropriate cases for roundtable discussion.
Attend and/or present at roundtables or authority discussions for collaboration and improved payout on indemnity and expense.
Share experience and knowledge of creative resolution techniques to benefit others.
Apply company’s claim quality management protocols and metrics; document rationale for deviations.
Other Accountabilities
Apply litigation management through selection of counsel and evaluation.
Perform other duties as assigned.
Potential for travel up to 30%.
Minimum Education Required
High School/GED
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have?
Bachelor’s Degree.
10+ years claim handling experience with 5‑7 years handling serious injury and complex liability claims.
Extensive working‑level knowledge and skill in various business line products.
Excellent negotiation and customer service skills.
Advanced skills in coverage, liability and damages analysis; expert understanding of litigation processes in state and federal courts; expert litigation management skills.
Extensive claim and/or legal experience for evaluating severe and complex claims.
Ability to make independent decisions on most assigned cases.
Openness to ideas and expertise of others; solicits input and shares ideas.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
Demonstrated strong coaching, influence and persuasion skills.
Advanced written and verbal communication skills.
Adapt to and support cultural change.
Strong technology aptitude and use of business technology tools.
Advanced analytical thinking, judgment/decision making, communication, negotiation, insurance contract knowledge, principles of investigation, value determination, settlement techniques, litigation management, medical terminology and procedural knowledge.
What is a Must Have?
10+ years claim handling experience or related experience with 3‑5 years handling serious injury and complex liability claims.
High School Degree or GED required.
May be required to obtain and maintain Property/Causalty Adjuster License(s) within three months of starting the job to comply with state and Travelers requirements.
Location
Tampa, Florida
Job Information
Auto req ID: 470366BR
Job Code: Ins Insurance
Affiliate Sponsor: Travelers Insurance
#J-18808-Ljbffr