Complex Claims Specialist, Long Term Care Professional Liability at Liberty Mutual Insurance

, , United States -

Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Handling, Investigation, Analytical Skills, Decision Making, Negotiation Skills, Communication Skills, Legal Knowledge, Insurance Regulations, Long Term Care, Professional Liability, Medical Malpractice, Report Preparation, Litigation Management, Case Resolution, Mediation, Arbitration, Claims Audit

Industry

Insurance

Description

Description Liberty Mutual has an immediate opening for a Complex Claims Specialist as part of our Long-Term Care division. With minimal supervision, the Complex Claims Specialist handles a book of specialty lines claims (Long-Term Care Professional Liability Claims), throughout the entire claim's life cycle. Additionally, the Complex Claims Specialist is responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. *This position may have an in-office requirement and other travel needs depending on candidate location. If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change. We are open to fill this position, depending on related professional skills and experience, as a Senior Claims Specialist or a Complex Claims Specialist. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, the salary for both levels, and the overall cost of labor for that region. Responsibilities Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority for line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers, risk managers and reinsurers, as necessary. As required, maintains insurance adjuster licenses. Qualifications Bachelors' and/or advanced degree. 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred. Experience with Long Term Care Professional Liability and/or Medical Malpractice claims experience is required. Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge. Functional knowledge of law and insurance regulations in various jurisdictions. Demonstrated advanced verbal and written communications skills. Demonstrated advanced analytical, decision making and negotiation skills. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally. At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow. We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco

Responsibilities

The Complex Claims Specialist manages a book of Long-Term Care Professional Liability Claims throughout the entire claim's life cycle. Responsibilities include conducting investigations, recommending reserves, and settling claims efficiently within authority limits.