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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in handling serious and complex specialty claims, including advanced negotiation, litigation management, and analytical skills. Proficient in evaluating liability, damages, and applying effective claims handling practices within established protocols.
Highest-signal resume keywords
10+ Years Claim Handling ExperienceExpert Litigation Management SkillsAdvanced Coverage, Liability, And Damages Analysis SkillsStrong Negotiation And Customer Service SkillsThorough Understanding Of Commercial Lines Products
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationLitigation ProcessesClaims File ManagementDamage DocumentationIndemnity And Expense ReservesBodily Injury LitigationAnalytical ThinkingDecision MakingSettlement TechniquesMedical Terminology
Soft Skills
CoachingInfluencePersuasionWritten CommunicationVerbal Communication
Tools & Technologies
Diary Management SystemsBusiness Technology Tools
Certifications & Qualifications
Bachelor's Degree
Industry Keywords
Complex Liability ClaimsInsurance Contract KnowledgeISO FormsClaims Handling PracticesRisk ControlFraud Investigation
About the role
Key responsibilities & impact- Investigate, evaluate, reserve, negotiate, and resolve assigned serious and complex specialty claims
- Directly handle assigned severe claims with full damage values from $500,000 to several million dollars
- Provide quality customer service and ensure file quality, timely coverage analysis, and communication with insureds
- Investigate claims through contact with policyholders, accounts, claimants, law enforcement, witnesses, agents, medical providers, and technical experts
- Interview witnesses and stakeholders and complete outside investigations as needed
- Select and direct internal and external resources including subrogation, risk control, nurse consultants, fire investigators, fraud investigators, and other experts
- Verify injuries and property damage through records and damages documentation
- Maintain claim files and document activities according to established procedures
- Develop creative resolution strategies and dispose of claims within delegated authority
- Negotiate claims with insureds, claimants, and legal representatives
- Manage litigated claims, including litigation plans, discovery, legal expenses, and counsel selection
- Review Claim File Analysis for quality standards and trend analysis
- Use diary management systems and evaluate liability and damages exposure at required intervals
- Establish and maintain indemnity and expense reserves
- Provide underwriting partners with guidance on loss reserves
- Recommend and participate in roundtables and authority discussions
- Share creative resolution expertise to improve claim outcomes
- Apply claim quality management protocols, metrics, and litigation management practices
- Perform other assigned duties
Requirements
What you’ll need- Bachelor's Degree
- 10+ years claim handling experience, including 5–7 years handling serious injury and complex liability claims
- Four years bodily injury litigation claim handling experience or comparable claim litigation experience
- Extensive working-level knowledge of various business line products
- Excellent negotiation and customer service skills
- Advanced coverage, liability, and damages analysis skills
- Expert understanding of litigation processes in state and federal courts, including relevant case and statutory law and procedure
- Expert litigation management skills
- Extensive claim and/or legal experience evaluating severe and complex claims
- Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices
- Strong coaching, influence, and persuasion skills
- Advanced written and verbal communication skills
- Strong technology aptitude and ability to use business technology tools
- Advanced analytical thinking, judgment/decision making, communication, negotiation, insurance contract knowledge, investigation principles, value determination, settlement techniques, litigation management, and medical terminology/procedural knowledge
- Ability to make independent decisions on assigned cases
- Ability to adapt to and support cultural change
Benefits
Comp & perks- Sign-on bonus
- Health insurance for employees and eligible family members from the first day of employment
- 401(k) dollar-for-dollar matching up to the first 5% of eligible pay
- Paying it Forward Savings Program for employees with student loan debt
- Pension Plan 100% funded by Travelers
- Minimum of 20 days paid time off annually
- Nine paid company holidays
- Wellness program with tools, discounts, resources, health coaching, and caregiving support
- Free professional counseling services through the mental health program
- Matching Gift and Volunteer Rewards program
- Equal opportunity employment
