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Inside Claim Representative
| Details |
Country: USA
Location: Arizona-Phoenix Phoenix, AZ
Total applied: 50 |
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Inside Claim Representative
Inside Claim RepresentativeCommitted. Competitive. Constructing our Future. That's Travelers. We are one of the leading insurance companies in the United States. 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. We are currently looking for a Inside Claim Representative. Please read on for more details regarding this position. JOB DESCRIPTION: SUMMARY:Investigate, evaluate, reserve, negotiate and settle assigned claims in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned claims, while engaging in indemnity & expense management. Promptly manage claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, litigation management, and disposition. PRIMARY DUTIES:Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consult with Unit Manager on use of Claim Coverage Counsel.Investigate 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 liability, damages, and contribution potential. Take necessary statements.Identify resources for specific activities required to properly investigate claims such as outside claim representatives, nurse consultants, and fire or fraud investigators and to other experts. Request through Unit Manager and coordinate the results of their efforts and findings.Verify 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, evaluate liability & damages exposure, and establish proper indemnity & expense reserves. Utilize evaluation documentation tools in accordance with department guidelines.Responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolutionMay manage litigated claims. Develop litigation plan with staff or panel counsel, track and control legal expenses. Assure cost-effective resolution.Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.Maintain claim files, have an effective diary system, and document claim file activities in accordance with established procedures. 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 protocols to be referred to next level claim handler or Major Case Unit and refer on a timely basis.Appropriately deal with information that is considered personal and confidential.Compliance with Claim Department's Best Practices.Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquires from agents and brokers. Handles minor or simple litigationManage litigation expenses and payout, important for development EDUCATION/COURSE OF STUDY:College degree or equivalent in business discipline preferred. CERTIFICATES/DEGREES:State license where applicable & continuing education OTHER: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 File managementTechnical skillsCustomer focus/communicationRelationship ManagementTechnology In addition to an exciting environment, we offer: * Competitive base salary with additional opportunities for variable pay through recognition programs and incentive awards * 401(k) with company match* Comprehensive health plans that include coverage for same sex/domestic partners* Strong work/family and employee assistance programs* Tuition reimbursement * Vacation Purchase Plan* Training/Development opportunities We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. Explore what we have to offer. For immediate consideration for this position, please click on the "Apply Now" button at the bottom of this posting. Travelers is an equal opportunity employer. We actively promote a drug-free workplace. Company: Travelers Companies, Inc.
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