Major Case Specialist-Oil and Gas
Posted on: May 16, 2022
**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 160 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.
**What Is the Opportunity?**
Under general supervision, this position is responsible for
investigating, evaluating, reserving, negotiating and resolving
assigned serious and complex Specialty claims. Provides quality
claim handling throughout the claim life cycle (customer contacts,
coverage, investigation, evaluation, reserving, litigation
management, negotiation and resolution) including maintaining full
compliance with internal and external quality standards and state
specific regulations. Provides consulting and training and serves
as an expert technical resource to other claim professionals,
business partners, customers, and other stakeholders as appropriate
or required. This position does not manage staff.
Potential for a $10,000 sign on bonus!
Travelers offers a hybrid work location model that is designed to
**Primary Job Duties & Responsibilities**
+ CLAIM HANDLING:
+ Directly handle assigned severe claims.
+ Full damage value for average claim (without regard to coverage
or liability defenses): $500,000 to several million dollars,
amounting to a typical inventory of claims with FDV of over a
multi-million dollar value.
+ Provide quality customer service and ensure file quality, timely
coverage analysis and communication with insured based on
application of policy information to facts or allegations of each
+ Work 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
+ Interview witnesses and stakeholders; take necessary statements,
as strategically appropriate.
+ Complete outside investigation as needed per case specifics.
+ Actively engage 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 nurse consultants, and
fire or fraud investigators, and other experts.
+ Verify the nature and extent of injury or property damage by
obtaining and reviewing appropriate records and damages
+ Maintain claim files and document claim file activities in
accordance with established procedures.
+ Develop and employ creative resolution strategies.
+ 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 resolution.
+ Manages litigated claims. Develop litigation plan with staff or
panel counsel, including discovery and legal expenses, to assure
effective resolution and to satisfy customers.
+ Utilize evaluation documentation tools in accordance with
+ Proactively review Claim File Analysis (CFA) for adherence to
quality standards and trend analysis. Utilize diary management
system to ensure that all claims are handled timely. At required
time intervals, evaluate liability and damages exposure.
+ Establish and maintain proper indemnity and expense reserves.
+ Provide guidance to underwriting business partners with respect
to accuracy and adequacy of, and potential future changes to, loss
reserves on assigned claims.
+ Recommend appropriate cases for discussion at roundtable.
+ Attend and/or present at roundtables/ authority discussions for
collaboration of technical expertise resulting in improved payout
on indemnity and expense.
+ Actively and enthusiastically share experience and knowledge of
creative resolution techniques to improve the claim results of
+ Apply the Company's claim quality management protocols, and
metrics to all claims; document the rationale for any departure
from applicable protocols and metrics with or without
+ OTHER ACCOUNTABILITIES:
+ Apply litigation management through the selection of counsel,
+ 10+ years claim handling experience or related experience with
3-5 years experience handling serious injury and complex liability
claims. High School Degree or GED required; In order to perform the
essential job functions of this job, acquisition and maintenance of
Property/Causalty Adjuster 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
**Education, Work Experience, & Knowledge**
+ Bachelor's Degree preferred.
+ 10+ years claim handling experience with 5-7 years experience
handling serious injury and complex liability claims preferred.
+ Extensive working level knowledge and skill in various business
+ Excellent negotiation and customer service skills.
+ Advanced skills in coverage, liability and damages analysis with
expert understanding of the litigation process in both state and
federal courts, including relevant case and statutory law and
procedure; expert litigation management 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 and actively
solicits input and shares ideas.
+ Thorough understanding of commercial lines products, policy
language, exclusions, ISO forms and effective claims handling
+ Demonstrated strong coaching, influence and persuasion
+ 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
**Job Specific Technical Skills & Competencies**
+ Analytical Thinking - Advanced
+ Judgment/Decision Making - Advanced
+ Communication - Advanced
+ Negotiation - Advanced
+ Insurance Contract Knowledge - Advanced
+ Principles of Investigation - Advanced
+ Value Determination - Advanced
+ Settlement Techniques - Advanced
+ Litigation Management - Advanced
+ Medical Terminology and Procedural Knowledge - Advanced
**Environmental / Work Schedules / Other**
+ Operates standard office equipment - Continuously
+ Sitting (can stand at will) - Continuously
+ Standing - Frequently
+ Use of Keyboards, Sporadic 10-Key - Continuously
Travelers is an equal opportunity employer. We value the unique
abilities and talents each individual brings to our organization
and recognize that we benefit in numerous ways from our
If you are a candidate and have specific questions regarding the
physical requirements of this role, please send us an email
(4-ESU@travelers.com) so we may assist you.
Travelers reserves the right to fill this position at a level above
or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit
Keywords: Travelers, Topeka , Major Case Specialist-Oil and Gas, Other , Topeka, Kansas
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