http://travelers.jobs2web.com/go/Buffalo-NY-Claims-Jobs/33355/ View Buffalo NY Claims Jobs at Travelers en-us http://travelers.jobs2web.com/images/travelers/home_logo.gif http://travelers.jobs2web.com/go/Buffalo-NY-Claims-Jobs/33355/ 720 Job ID: 790273
Location: NY-Buffalo

Available Openings: 1

Committed. 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.

PLEASE NOTE: THIS IS A PIPELINE OPENING DESIGNATED FOR ONGOING RECRUITMENT EFFORTS.

SUMMARY:
Handle 1st and 3rd party Personal Insurance and Business Insurance claims. Manage claims for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.) Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).

PRIMARY DUTIES:
- Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes, tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle.
- Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).
- Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.) Manage deductibles and coverage limits.
- Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.
- Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws.
- Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: conciergeclaim, appraisal, heavy equipment, property task assignment). When a Total Loss is determined, authorize payment through the Total Loss representative.
- Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops, repair facilities and other vendors.
- Establish timely and maintain appropriate claim and expense reserves.
- Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.
- Write denial letters, Reservation of Rights and other routine and complex correspondence to insured-s and claimants.
- Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.
- Negotiate and convey claim settlements within authority limits to insureds.
- Meet all quality standards and expectations per Best Practices.
- Comply with state specific regulations.
- Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers. Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC).
- Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult. Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration.
- Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings.
- May participate with Auto ERT during extreme weather events.-
- Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution.

EDUCATION/COURSE OF STUDY:
College degree or equivalent business experience

CERTIFICATES/DEGREES:
Adjusters license (where applicable)

COMMUNICATION SKILLS:
Strong verbal and written communication skills

COMPUTER SKILLS:
Hardware and software skills to utilize and leverage claim and adjusting technology

OTHER:
Medical terminology knowledge (helpful)
Customer service and empathy skills
Solid analytical and decision making skills
Math skills
Excellent negotiation skills and ability to effectively handle conflict
Strong organization and time management skills
Ability to multi-task and to adapt to a changing environment
Ability to effectively handle conflict
Attention to detail ensuring accuracy.
Strong investigative skills and creativity to achieve optimal resolution

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/BUFFALO-Claim-Rep,-Auto-Damage-Job-NY-14201/558391/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/BUFFALO-Claim-Rep,-Auto-Damage-Job-NY-14201/558391/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS Job ID: 790308
Location: NY-Buffalo

Available Openings: 2

Committed. 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.

SUMMARY:
Investigate, evaluate, reserve, negotiate and resolve assigned serious and complex 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. 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.

PRIMARY DUTIES:
Directly handle assigned severe and/or complex claims.
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.
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 Subro, 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 documentation.
Maintain claim files and document claim file activities in accordance with established procedures Utilize evaluation documentation tools in accordance with department guidelines.
Proactively review CFAs 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 & damages exposure.
Establish and maintain proper indemnity & 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 deep knowledge of creative resolution techniques to improve the claim results of others.
Apply the Companys claim quality management protocols, Best Practices and metrics to all claims; document the rationale for any departure from applicable protocols and metrics.
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 our customers.
Apply expert 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.
Effectively and efficiently manage both allocated and unallocated loss adjustment expenses.
Develop and employ innovative techniques to manage expense and outcome when independent counsel is engaged.
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.
Recognize cases, based on severity/complexity protocols, that should be transferred to another level of claim professional and refer on a timely basis.
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 inquires 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
Actively provide mentoring and coaching to less experienced claim professionals to increase the technical expertise and improve bench strength.
Share accountability with business partners to achieve and sustain quality results.
Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts.
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 assist in underwriting and management decisions.
May assist underwriting business partners in marketing and account-contact efforts.
May participate in periodic file quality reviews.

EDUCATION/COURSE OF STUDY:
College degree or equivalent business experience.

WORK EXPERIENCE:
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 line products
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 actively solicits input and shares ideas.
Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
Demonstrated strong coaching, influence and persuasion skills.
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 effect

CERTIFICATES/DEGREES:
State insurance adjusting license (where applicable) and ongoing satisfaction of any necessary continuing education requirements.

OTHER:
Leading the Business:
Drive Results
Leads Change
Executes Business Strategy

Leading Others:
Attract Top Talent
Maximize Individual Performance
Holds Others Accountable
Aligns Rewards
Creates and Sustains a Dynamic Workplace-promotes Enterprise culture

Leading Self-Emotional Intelligence
Demonstrates Self-Awareness-initiative and accountability
Applies Critical Thinking
Communicates Effectively & Influences Others
Exhibits Courage, Conviction & Credibility

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/BUFFALO-Major-Case-Specialist,-Liability-Job-NY-14201/558997/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/BUFFALO-Major-Case-Specialist,-Liability-Job-NY-14201/558997/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS
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.

*** Thank you for your interest in this job posting. We are currently accepting resumes and inquiries for possible future positions. ***

SUMMARY:
Demonstrate proficiency in first party estimating, investigation, evaluation and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality.

PRIMARY DUTIES:
Handle 1st party Property claims of moderate complexity as assigned.
Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates.
Investigate and evaluate all relevant facts to determine coverage, damages and liability of first-party property damage claims.
Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces
Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder; transition to and from ladder to area requiring inspection; walk on roof.
Establish timely and accurate claim and expense reserves.
Negotiate and convey claim settlements within authority limits.
Write denial letters, Reservation of Rights and other complex correspondence.
Control damages through proper usage of cost containment tools.
Meet all quality standards and expectations per Best Practices.
Maintain an effective diary system and document claim file activities in accordance with established procedures.
Manage file inventory to ensure timely resolution of cases.
Handle files in compliance with state regulations, where applicable.
Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
Identify and refer claims with MCU exposure to the supervisor.
Recognize when to refer claims to Special Investigations Unit and/or Subro Unit.
Perform administrative functions such as expense accounts, time off reporting, etc. as required
Perform any other duties as required.
Occasional Catastrophe Duty, including other offices and states may be required.

EDUCATION/COURSE OF STUDY:
College degree or equivalent in business discipline.

WORK EXPERIENCE:
Previous property claim handling experience is preferred.
Knowledge of construction, estimating and estimating system (Xactimate preferred)

CERTIFICATES/DEGREES:
Valid driver's license

COMMUNICATION SKILLS:
Must display solid verbal and written communications skills.

COMPUTER SKILLS:
Hardware and software skills and abilities including computers and other similar electronic devices.

OTHER:
Excellent organizational skills with the ability to work independently.
Solid analytical skills.
Excellent negotiation skills.

Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.

Return to Previous Page]]> http://travelers.jobs2web.com/job/BUFFALO-Experienced-Outside-Property-Claim-Professional-Job-NY-14201/613788/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/BUFFALO-Experienced-Outside-Property-Claim-Professional-Job-NY-14201/613788/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS Job ID: 790477
Location: NY-Buffalo

Available Openings: 2

Committed. 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.

In-house telephonic utilization review for prospective, concurrent, retrospective and appeal treatment requests for workers' compensation claims
Responsible for adhering to the Massachusetts and California Utilization Review Criteria.

Job Components:
Contact ordering provider upon notification of request for treatment to obtain pertinent medical findings. Information may be received telephonically, electronically or via mail.
Assess medical case facts and apply critical thinking skills to determine medical necessity of requested treatment for prospective, concurrent and retrospective reviews, applying review criteria and treatment guidelines.
UR determinations are supported with clinical rationale and concisely documented.
Facilitate Peer Advisor review for second level determinations when indicated per established Best Practices
Provide written and verbal notification of review determinations.
Perform other duties as required.

Qualifications/Requisite Skills:
RN/LPN licensure required (as per state requirements)
Related clinical experience preferred (orthopedics, neurology, occupational health, Utilization Review)
Strong computer skills
Strong customer focus/communication and relationship management skills

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/BUFFALO-Utilization-Review-Nurse-Workers'-Compensation-Job-NY-14201/594861/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/BUFFALO-Utilization-Review-Nurse-Workers'-Compensation-Job-NY-14201/594861/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS Job ID: 791806
Location: NY-Buffalo

Available Openings: 1

Committed. 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.

Catastrophic Outside Property Claim Professional Trainee -Buffalo

SUMMARY:

Complete formal Property Training Program for consideration of advancement to Outside Property Claim Representative Position. This will include, but not be limited to formal training held in our state-of-the-art training facility in Windsor, CT, as well as on the job training in the field.

Effective handling of personal and commercial lines property claims of basic to moderate complexity.

Contacting clients, determining coverage, scoping of loss and completing damage estimates via Xactimate software, negotiating and settling claims per Best Practices and within DOI regulations.

Managing a file inventory in an organized manner including maintaining an effective diary system and accurately documenting claim activity in system file notes in order to effectively resolve claims.

Establish and maintain favorable working relationships with customers, marketing partners, contractors and all internal parties/ resources.

Write denial letters, Reservation of Rights, and other complex correspondence.

Identify and refer claims with high-level exposure to the supervisor as warranted.

Refer claims to Special Investigations Unit and/or Subrogation Unit as warranted.

Perform administrative functions such as expense accounts, time off reporting, etc. as required

Perform any other duties as required.

Occasional catastrophe duty, including travel to other offices and states would be required.

Demonstrate proficiency in estimating, investigation, evaluation, and negotiation at the most reasonable cost. Satisfy customer needs and ensure file quality.

PRIMARY DUTIES:

Handle Property claims of lesser value and complexity as assigned.
Complete field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer-assisted estimates.
Investigate and evaluate all relevant facts to determine coverage, damages, and liability of property damage claims.
Access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries, and crawl spaces
Lift, carry, unfold and set up ladder weighing approximately 38 pounds; climb ladder; transition to and from ladder to area requiring inspection; walk on roof.
Establish timely and accurate claim and expense reserves.
Negotiate and convey claim settlements within authority limits.
Write denial letters, Reservation of Rights, and other complex correspondence.
Control damages through proper usage of cost containment tools.
Meet all quality standards and expectations per Best Practices.
Maintain an effective diary system and document claim file activities in accordance with established procedures.
Manage file inventory to ensure timely resolution of cases.
Handle files in compliance with state regulations, where applicable.
Provide excellent customer service to meet the needs of the insured, agent, and all other internal and external customers.
Identify and refer claims with MCU exposure to the supervisor.
Recognize when to refer claims to Special Investigations Unit and/or Subro Unit.
Perform administrative functions such as expense accounts, time off reporting, etc. as required
Perform any other duties as required.
Occasional Catastrophe Duty, including other offices and states may be required.

EDUCATION/COURSE OF STUDY:
College degree or equivalent in business discipline.

WORK EXPERIENCE:
Previous property claim handling experience is preferred.
Knowledge of construction, estimating and estimating system (Xactimate preferred)

COMMUNICATION SKILLS:
Must display solid verbal and written communications skills.

COMPUTER SKILLS:
Hardware and software skills and abilities including computers and other similar electronic devices.

OTHER:

Excellent organizational skills with the ability to work independently.
Solid analytical skills.
Excellent negotiation skills.
Candidates must have excellent customer service, communication and organizational/time management skills, as well as the ability to competently handle multiple tasks simultaneously.

Two or four year college degree preferable, however all candidates will be considered.

Construction industry experience and/or knowledge are a plus. Claim adjusting experience in another line of business is helpful.

Must possess a Valid Driver's license.

Working Environment:
Inside/Outside working environment, including access and inspect all areas of a dwelling or structure including tight spaces such as attic, staircases, entries and crawl spaces. Lift, carry, unfold, and set up ladder weighing approximately 38 lbs; climb ladder; transition to and from ladder to area requiring inspection; walk on roof or other similar physical tasks.

This position requires extensive nationwide travel and the incumbent must be available for immediate deployment within 24 hours of notification. The required standard tour length of 28 consecutive workdays, plus 2 travel days is also expected to be met.

Incumbents who fill this position will be subject to periodic post-hire criminal background checks while employed in this position. As a condition of acceptance for the position, selected candidates for this position will be required to electronically accept the Fair Credit Reporting Act (FCRA) Disclosure Statement and Authorization included in the online employment application. You may also be subsequently asked to accept similar FCRA authorizations periodically throughout your employment with the Company.

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.]]> http://travelers.jobs2web.com/job/BUFFALO-Catastrophic-Outside-Property-Claim-Professional-Trainee-Buffalo-Job-NY-14201/669543/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS http://travelers.jobs2web.com/job/BUFFALO-Catastrophic-Outside-Property-Claim-Professional-Trainee-Buffalo-Job-NY-14201/669543/?utm_source=J2WRSS&utm_medium=rss&utm_campaign=J2W_RSS