Sr. Construction Liability Claim Representative - Irvine, CA

VetJobs; Irvine (CA); On-site; USD 75,000 - 100,000; Full time

Job summary

Travelers Insurance in Irvine, California is seeking a senior claims professional to manage severe liability claims, coordinate with counsel, and supervise the end-to-end investigation and resolution process. You will leverage negotiation and analytical skills to determine liability and settlements while maintaining high file quality and timely coverage analysis.

The role requires strong communication, negotiation, and decision-making abilities, along with substantial experience in liability

Qualifications

• High School Degree or GED.
• 2 years of liability claim handling experience and/or comparable litigation claim experience.
• Acquisition and maintenance of Insurance License(s) may be required to comply with state requirements.
• License(s) are generally required within three months of starting the job.
• Bachelor's Degree preferred for certain roles.

Responsibilities

• Directly handles assigned severe claims.
• Provides quality customer service and ensures file quality and timely coverage analysis.
• Consults with Manager on use of Claim Coverage Counsel as needed.
• Investigates claims through contact with policyholders, claimants, and experts to determine liability and damages.
• Manages reserves and diary systems to ensure timely handling.
• Attends depositions, mediations, and other legal proceedings as needed.
• Disposes claims within delegated authority and negotiates dispositions.
• Develops litigation plans and directs counsel and experts as needed.

Skills

Negotiation

Customer service

Communication

Analytical thinking

Decision making

Education

Bachelor's Degree

High School Diploma

Tools

Diary management system

Claims management software

Litigation tracking tools

Job description

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.

Who Are We?

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 170 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.

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

$85,600.00 - $141,200.00

What Is the Opportunity?

This role is eligible for a sign‑on bonus.

What Will You Do?

• Directly handles assigned severe claims.
• Provides quality customer service and ensures file quality and timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Consults 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.
• Completes outside investigation as needed per case specifics.
• Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
• Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
• Maintains claim files and documents claim file activities in accordance with established procedures.
• Utilizes evaluation documentation tools in accordance with department guidelines.
• Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis.
• Utilizes diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure.
• Establishes and maintains proper indemnity and expense reserves.
• Recommends appropriate cases for discussion at roundtable.
• Attends and/or presents at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
• Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.
• Develops and employs creative resolution strategies.
• Promptly and properly disposition all claims within delegated authority.
• Negotiates disposition of claims with insureds and claimants or their legal representatives.
• Recognizes and implements alternate means of resolution.
• Manages litigated claims. Develops litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Applies litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.
• Tracks and controls legal expenses to assure cost‑effective resolution.
• Effectively and efficiently manage both allocated and unallocated loss adjustment expenses.
• Attends depositions, mediations, arbitrations, pre‑trials, trials and all other legal proceedings, as needed.
• Updates appropriate parti.
• Perform other duties as assigned.

Auto req ID

483118BR

Minimum Education Required

High School/GED

Additional Qualifications/Responsibilities

What Will Our Ideal Candidate Have?

• Bachelor's Degree.
• 3 years business experience.
• 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.
• Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills.
• Extensive claim and/or legal experience and 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.
• Analytical Thinking - Basic.
• Judgment/Decision Making - Basic.
• Communication - Intermediate.
• Negotiation - Intermediate.
• Insurance Contract.
• Knowledge - Intermediate.
• Principles of Investigation - Intermediate.
• Value Determination - Intermediate.
• Settlement Techniques - Intermediate.
• Legal Knowledge - Basic.
• Medical Knowledge - Intermediate.

What is a Must Have?

• High School Degree or GED.
• 2 years of liability claim handling experience and/or comparable litigation claim experience.
• In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
• Generally, license(s) are required to be obtained within three months of starting the job.

City

Irvine

State

California

Job_Category

Claims

Job Code

Ins Insurance

Affiliate Sponsor

Travelers Insurance

Salary Range

$75,000-$100,000