Auto FPM Litigation Arbitration Claim Representative - Morristown, NJ

ATTENTION MILITARY AFFILIATED JOB SEEKERS Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. If you have the required skill set education requirements and experience please click the submit button and follow the next steps.

Taking care of our customers our communities and each other. Thats the Travelers Promise. By honoring this commitment we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.


Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program employees are also eligible for performancebased cash incentive awards.

Salary Range
$59200.00 $97700.00
Target Openings
6
What Is the Opportunity
This position handles First Party Medical Litigation or Arbitration claims from the first notice of suit/arbitration to resolution/settlement and payment process. Provides quality claim handling throughout the litigation/arbitration life cycle (attorney/provider contacts coverage investigation evaluation reserving negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.
What Will You Do
Coverage Analysis:
Review and analyze coverage and policy conditions provisions exclusions and endorsements and how jurisdictional issues impact the claim. Confirm the benefits available the injured partys eligibility and the applicable limits. Confirm proper application of any deductibles coverage limits etc. Confirm priority of coverage i.e.: primary secondary concurrent or not applicable and take into consideration other issues such as Social Security Workers Compensation or others relevant to the jurisdiction.
Investigation/Evaluation:
Evaluate each suit/arbitration to obtain relevant facts necessary to determine defensibility and potential exposure. Prompt review of claim file and handling procedures to determine validity of the action. Review of current legal/jurisdictional resources and applicable case law in conjunction with Claim counsel and First Party Medical claim professional if necessary. Proactively manage ongoing litigation/arbitration through prompt consistent follow up with Claim counsel and other applicable resources.
Reserving:
Establish timely and maintain appropriate claim and expense reserves to reflect the overall claim exposure. Manage file inventory and expense reserves by utilizing an effective diary system documenting claim file activities to resolve claim in a timely manner.
Negotiation/Resolution:
Determine settlement amounts negotiate and convey claim settlements within authority limits to attorneys providers and claimants. As appropriate write denial letters Reservation of Rights and other necessary correspondence to attorneys providers and claimants. Develop resolution plan with staff or panel counsel and track and control legal expenses; Review conciliations and prepare submissions for arbitration and/or mediation hearings. May also attend arbitrations as Company witness. Attend depositions mediations arbitrations pretrials trials and all other legal proceedings as needed.
Recognize and engage the appropriate resources (i.e. Nurse SIU claim counsel property etc.) to move the file towards appropriate resolution. Identify subrogation opportunities determine appropriateness of the demand and negotiate adverse subrogation and arbitration.
Recognize cases based on severity protocols to be referred timely to next level claim professional.
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.