Travelers · 1 month ago
Complex Commercial General Liability Claim Representative
CA - Diamond Bar
Full-time
Hybrid
Mid, Senior Level
$94K/yr - $156K/yr
3+ years expTravelers is a leading property casualty insurer with a commitment to customer care and community support. The Complex Commercial General Liability Claim Representative is responsible for investigating, evaluating, negotiating, and resolving General Liability claims while ensuring compliance with quality standards and regulations.
Auto InsuranceInsuranceProperty Insurance
Responsibilities
Directly handles assigned severity 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 investigates 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
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 damage documentation
Maintains claim files and documents claim file activities in accordance with established procedures
Utilizes evaluation documentation tools in accordance with department guidelines
Proactively reviews Claim File Analysis (CFA) for adherence to quality standards and trend analysis
Utilizes diary management system to ensure that all claims are handled timely
Establishes and maintains proper indemnity and expense reserves
Recommends appropriate cases for discussion at roundtable
Attends and/or present 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
Applies the Company's claim quality management protocols and Best Practices to all claims; documents the rationale for any departure from applicable protocols with or without assistance
Develops and employ creative resolution strategies
Responsible for prompt and proper disposition of 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 manages both allocated and unallocated loss adjustment expenses
Attends depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed
Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options
Recognizes cases, based on severity/complexity protocols that should be transferred to another level of claim professional and refers on a timely basis
Appropriately deals with information that is considered personal and confidential
Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions and inquiries from agents and brokers
Represents the company as a technical resource, attends legal proceedings as needed, acts within established professional guidelines as well as applicable state laws
Actively provides mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength
Shares accountability with business partners to achieve and sustain quality results
Evaluates all claims for recovery potential; directly handles recovery efforts and/or engages and directs Company resources for recovery efforts
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
Perform other duties as assigned
Qualification
Required
Bachelor's Degree
4 years bodily injury litigation 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
Openness to the ideas and expertise of others actively solicits input and shares ideas
Strong customer service skills
Demonstrated coaching, influence and persuasion 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 - Intermediate
Judgment/Decision Making - Intermediate
Communication - Intermediate
Negotiation -Advanced
Insurance Contract Knowledge - Advanced
Principles of Investigation - Advanced
Value Determination - Advanced
Settlement Techniques - Intermediate
Legal Knowledge - Intermediate
Medical Knowledge - Intermediate
High School Degree or GED required with a minimum of 3 years bodily injury litigation claim handling or comparable claim litigation experience
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. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
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. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Company
Travelers
Travelers provides insurance coverage to protect the things that are important to you – your home, your car, your valuables and your business.
10001+ employees
H1B Sponsorship
Travelers has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (47)
2023 (60)
2022 (42)
2021 (27)
2020 (20)
Funding
Current Stage
Public CompanyTotal Funding
unknown2002-03-22IPO
Leadership Team
Dan Frey
Executive Vice President and Chief Financial Officer
Beth Maerz
SVP, Customer, Strategy and Innovation
Recent News
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