Complex Claims Specialist, Long Term Care Professional Liability

Liberty Mutual Insurance

107d

About The Position

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.

Requirements

• 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.

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.

Benefits

• Comprehensive benefits and continuous learning opportunities.
• Environment where employees can succeed, both professionally and personally.

What This Job Offers

• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees