Complex Senior Claims Resolution Claims Specialist - Casualty

Liberty MutualLiberty Lake, WA
422d$73,100 - $152,400

About The Position

The Senior Claims Resolution Specialist at Liberty Mutual Insurance is responsible for managing, investigating, and resolving complex casualty claims within the Northwest Region. This role involves handling high exposure cases, including those with severe and catastrophic injuries, and requires a deep understanding of coverage, liability, and claims handling procedures. The specialist works autonomously within prescribed authority limits and is accountable for the financial processing of claims, ensuring adequate reserves, and may represent the company in regulatory matters.

Requirements

  • Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
  • Must be able to effectively handle claims at the highest technical and complexity level.
  • Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
  • A full working knowledge of claims operations and procedures is required.
  • Excellent written and oral communications skills required, as well as strong interpersonal, analytical, investigative, and negotiation skills.
  • The capabilities, skills, and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience.
  • Ability to obtain proper licensing as required.

Nice To Haves

  • 3 to 5 years of litigation experience
  • Expert knowledge of handling claims with severe to catastrophic injuries and fatalities.

Responsibilities

  • Manages, investigates, and resolves claims.
  • Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority.
  • Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
  • Identifies potential suspicious claims and refers to SIU, and identifies opportunities for third party subrogation.
  • Prepares for and attends trials, hearings, and conferences, reporting to Home Office and local management on status.
  • Confers with trial counsel and prepares trial reports.
  • Communicates with policyholders, witnesses, and claimants to gather information regarding claims, referring tasks to auxiliary resources as necessary, and advising on the proper course of action.
  • Responds to various written and telephone inquiries including status reports.
  • Ensures adequacy of reserves and recommends reserve increases on cases in excess of authority.
  • Accountable for security of financial processing of claims and information contained in claims files.
  • Responsible for managing the practices and billing activities of outside and in-house counsel.
  • May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
  • May be involved in special projects and/or mentoring at the direction of local management.

Benefits

  • Flexible Time Off Days: 15 for Senior Claims Specialist II and 20 for Senior Claims Specialist III.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Senior

Industry

Insurance Carriers and Related Activities

Education Level

Bachelor's degree

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service