Litigation Commercial General Liability Consultant

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Litigation Commercial General Liability Consultant
Duties: Directly handles assigned severe claims. Provides quality customer service and ensures file quality and timely coverage analysis and communication with insured based on the application of policy information to facts or allegations of each case. Consults 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. Completes 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, fire or fraud investigators, and other experts. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Maintains claim files and documents claim file activities by established procedures. Utilizes evaluation documentation tools by department guidelines. Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. Utilizes diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. Establishes and maintains proper indemnity and expense reserves. Recommends appropriate cases for discussion at roundtable. Attends and/or presents 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. Develops and employs creative resolution strategies. Promptly and properly disposition 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 manage 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 on the liability analysis and settlement options. Recognizes cases, based on severity/ complexity protocols that should be transferred to another level of claim professional and referred 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 their 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. 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.

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