Claims Officer

Liberty Mutual Insurance•New York, NY

10d

About The Position

With minimal supervision, independently handles a book of specialty lines claims throughout the entire claim's life cycle. Responsible for conducting investigations, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within the established authority limits for the line of business.

Requirements

Bachelors' and/or advanced degree
10 + years claims experience, with at least 5 years within a technical specialty
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

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, 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, as well as negotiation discussions within limit of settlement authority.
Participates in the claims audit process.
Provides claims marketing services by meeting with brokers, risk managers and reinsurers.
As required, maintains insurance adjuster licenses.