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Resolution Specialist

Travelers Melville Full-Time
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Solid reputation, passionate people and endless opportunities. That's Travelers. 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. This position is responsible for providing quality claim handling of low complexity General Liability claims from the first notice of loss through resolution/settlement and payment process. Claim types include clear liability with minor bodily injury and property damage exposures. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage validation, and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage others This job works under Moderate Supervision: Incumbent performs standard and routine assignments independently to conclusion; unusual problems which may require exceptions to procedures or processes are referred to the supervisor. Customer Contacts/Experience: Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Involves significant customer interactions and the ability to handle customer inquiries and resolve issues with a positive attitude. Coverage Analysis: Reviews and validates coverage, including application of policy conditions, provisions, exclusions and endorsements for General Liability claims in multiple state jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to NOLC. Negotiation/Resolution: Determines settlement amounts. Conveys claim settlements within authority limits to claimants. Insurance License: 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. Bachelor's degree preferred. Customer-oriented (or focused) service preferred. Demonstrated ownership attitude and customer centric response to all assigned tasks Ability to work in a high volume, fast paced environment managing multiple priorities Attention to detail ensuring accuracy Able to demonstrate positive and professional demeanor Able to demonstrate effective sales skills or aptitude Proficient in conflict resolution skills Sales experience preferred Keyboard skills and Windows proficiency, including Excel and Word - Intermediate Verbal and written communication skills -Intermediate Analytical Thinking - Basic Judgment/Decision Making - Basic Negotiation - Basic Insurance Contract Knowledge - Basic Principles of Investigation - Basic Value Determination - Basic Settlement Techniques - Basic Medical Knowledge - Basic
High School Diploma or GED and one year of customer service experience or Bachelor's degree required. Travelers is an equal opportunity employer.

Skills required

Claims
Collections
Billing
Insurance
Call Centers
Written Communication

Location

Salary Estimator

Based on Job Title, Location and Skills
$72K
Below Avg. Average Above Avg.
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Job ID: 20516BRCBP

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