Claims Officer, Long Term Care

About the position

Liberty Mutual has an immediate opening for a Claims Officer, Long Term Care. With minimal supervision, the Claims Officer handles a book of specialty lines claims, throughout the entire claim's life cycle. The Claims Officer will be 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 in-office requirements and other travel needs depending on candidate location. You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: 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. This is a range posting, and we may fill as Complex Claims Specialist or Claims Officer, depending on candidate experience. The salary range posted reflects this range and various geographic remote locations. A typical salary will be between $105,000-$125,000. Complex Claims Specialist Salary: $92,000-176,000 (based on candidate location and experience) Claims Officer Salary: $104,0000-197,000 (based on candidate location and experience).

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 re-insurers, as necessary.
• As required, maintains insurance adjuster license.

Requirements

• Bachelors' and/or advanced degree.
• 10 + years claims experience, with at least 5 years within a technical specialty.
• Health Care Claims experience required.
• Highly 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 superior verbal and written communications skills.
• Highest level of advanced analytical, decision making and negotiation skills.
• All-lines Adjusters License is required.