Claim Representative General Liability - Hunt Valley, MD

General Liability Claims Investigator

Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims. Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage staff.

Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. Investigates 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. Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. Verifies 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, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves. Utilizes evaluation documentation tools in accordance with department guidelines. Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives. Recognizes and implements alternate means of resolution. May manage litigated claims. Develops litigation plan with staff or panel counsel, track and control legal expenses Assures appropriate resolution. Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. May attend 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 protocols to be referred timely to next level claim professional or Major Case Unit. 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, act within established professional guidelines as well as applicable state laws. Provides quality customer service and ensures file quality. Shares accountability with business partners to achieve and sustain quality results. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. Resolve complex, severe exposure claims, using high service oriented file handling. 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.