Be an early applicantLess than 25 applicants

Company

Travelers · 5 hours ago

Business Torts Life Sciences Major Case Specialist

US - Nationwide

Full-time

Onsite

Mid, Senior Level

$101K/yr - $167K/yr

5+ years exp

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Responsibilities

Directly handle assigned severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims, as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds.

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 case.

Consult 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.

Complete outside investigation as needed per case specifics.

Utilize evaluation documentation tools in accordance with department guidelines.

Proactively review Evaluation Tool 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.

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.

Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.

Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts.

Assist underwriting business partners in marketing and account contact efforts, as well as contract and policy reviews.

Attend and/or present at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.

Share experience and deep knowledge of creative resolution techniques to improve the claim results of others.

Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength.

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.

Apply "advanced" litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.

Track and control legal expenses to assure cost-effective resolution.

Appropriately deal with information that is considered personal and confidential.

Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions and inquiries from agents and brokers.

Represent the company as a technical resource; attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws.

Share accountability with business partners to achieve and sustain quality results.

May be responsible to research and evaluate current information regarding trends in the law; digest and communicate this information to other Company departments and divisions to assisting underwriting and management decisions.

May participate in periodic file quality reviews.

In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.

Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

Other duties as assigned.

Qualification

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Medical products litigationPharmaceutical claims handlingLegal knowledgeInsurance contract knowledgeTechnical ability with virtual toolsCustomer service skillsCoaching skillsPrinciples of investigationSettlement techniquesValue determinationMedical knowledge

Required

High School Degree or GED required with a minimum of 4 years bodily injury litigation claim handling or comparable claim litigation experience.

5-7 years medical products and/or pharmaceutical litigation or claim handling experience.

Advanced level knowledge 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.

Thorough understanding of business line products, policy language, exclusions, ISO forms, and effective claims handling practices.

Technical ability/working knowledge of virtual tools (Zoom, Skype, etc)

Strong customer service skills.

Strong 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.

Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.

Attention to detail ensuring accuracy.

Job Specific Technical Competencies: Analytical Thinking, Judgment/Decision Making, Communication, Negotiation, Insurance Contract Knowledge, Principles of Investigation, Value Determination, Settlement Techniques, Legal Knowledge.

Preferred

Law degree preferred.

Medical Knowledge - Intermediate.

Benefits

Health Insurance

Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum.

Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs.

Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved.