Travelers

Major Case Specialist, Complex Claims

Travelers

Baltimore, MD, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Welcome to Travelers, a leading insurance company with a long-standing reputation for excellence. We are currently seeking a highly skilled and experienced Major Case Specialist to join our Complex Claims team. In this role, you will be responsible for managing major and complex claims, ensuring that our clients receive the best possible outcomes. We are looking for someone who is detail-oriented, analytical, and has excellent communication and negotiation skills. If you have a strong background in insurance claims handling and are passionate about providing top-notch service, we encourage you to apply for this exciting opportunity.

  1. Manage major and complex insurance claims for our clients.
  2. Ensure timely and accurate processing of claims, including investigating and evaluating coverage, liability, and damages.
  3. Review and analyze policy terms and exclusions to determine coverage.
  4. Communicate with clients, insurance adjusters, and other parties involved in the claims process to gather information and negotiate settlements.
  5. Provide guidance and support to clients throughout the claims process, addressing any questions or concerns they may have.
  6. Conduct thorough investigations and gather evidence to support or deny claims.
  7. Maintain accurate and detailed records of all claims activities and decisions.
  8. Collaborate with other team members, such as attorneys and medical professionals, to ensure comprehensive and effective claims management.
  9. Stay updated on industry trends, regulations, and best practices related to complex claims handling.
  10. Uphold company standards and policies, while also identifying areas for improvement and making recommendations for process enhancements.
  11. Meet performance metrics and goals set by management.
  12. Provide exceptional customer service and build strong relationships with clients.
  13. Handle sensitive information and maintain confidentiality at all times.
  14. Participate in training and development opportunities to enhance skills and knowledge in complex claims handling.
  15. Represent the company in a professional and ethical manner at all times.
Where is this job?
This job is located at Baltimore, MD, USA
Job Qualifications
  • Extensive Experience In Handling Complex Insurance Claims: A Major Case Specialist Should Have A Strong Background In Handling A Wide Range Of Insurance Claims, Including Complex And High-Value Cases. This Experience Should Include A Thorough Understanding Of Insurance Policies, Coverage, And Legal Requirements.

  • Strong Analytical And Investigative Skills: As A Major Case Specialist, The Ability To Analyze And Investigate Complex Claims Is Crucial. This Includes Gathering And Evaluating Relevant Information, Identifying Potential Fraud Or Misrepresentation, And Determining Appropriate Course Of Action.

  • Excellent Communication And Negotiation Skills: The Role Of A Major Case Specialist Involves Working With A Diverse Range Of Individuals, Including Customers, Attorneys, And Other Insurance Professionals. Strong Communication And Negotiation Skills Are Necessary To Effectively And Professionally Handle These Interactions.

  • Knowledge Of Insurance Regulations And Legal Requirements: In Addition To Understanding Insurance Policies And Coverage, A Major Case Specialist Should Have A Deep Knowledge Of Insurance Regulations And Legal Requirements. This Includes Staying Up-To-Date On Industry Changes And Ensuring Compliance With Laws And Regulations.

  • Ability To Manage And Prioritize A High Volume Of Cases: Complex Claims Can Involve A Significant Amount Of Documentation, Deadlines, And Communication. A Successful Major Case Specialist Should Be Able To Effectively Manage And Prioritize A High Volume Of Cases, While Maintaining A High Level Of Accuracy And Attention To Detail.

Required Skills
  • Communication Skills

  • Data Analysis

  • Time Management

  • Negotiation skills

  • Attention to detail

  • Conflict Resolution

  • Analytical Thinking

  • Risk assessment

  • Fraud detection

  • Legal Knowledge

  • Investigation Techniques

Soft Skills
  • Communication

  • Conflict Resolution

  • Customer Service

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Major Case Specialist, Complex Claims in Baltimore, MD, USA is between $74,000 and $110,000 per year. However, salaries may vary depending on factors such as experience, skills, and the specific company or organization.

Additional Information
Travelers is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedApril 21st, 2025
Apply BeforeApril 11th, 2026
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About Travelers

The Travelers Companies, Inc., commonly known as Travelers, is an American insurance company. It is the second-largest writer of U.S. commercial property casualty insurance, and the sixth-largest writer of U.S. personal insurance through independent agents.

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