Senior Claims Specialist I
About The Position
The Senior Claims Specialist works within a Claims Team, using technology to review, analyze, and process claims that are typically moderately complex to complex within assigned authority limits. The role involves making decisions about liability and compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property and casualty claims involving bodily injury or property loss. The specialist may also assist the Claims Team Manager with assigning new claims, providing technical direction, and monitoring caseloads. For employees who live within 50 miles of the Hoffman Estates, Illinois, or Plano, Texas, offices, onsite attendance is required twice a month. The position includes mandatory training: an initial remote portion followed by in-person training in Plano, Texas. Full attendance and active participation are required for both portions. Liberty Mutual covers travel, lodging, and meals during the in-office training.
Requirements
- Excellent interpersonal skills for communicating and negotiating with customers and conducting investigations.
- Leadership ability and demonstrated time-management skills to delegate work appropriately and organize resources effectively.
- Advanced knowledge of claims case-handling practices, legal liability, general insurance policy coverage, and state tort laws, normally acquired through a bachelor's degree or equivalent training plus 3 to 5 years of directly related work experience.
- Obtain and maintain all applicable licenses.
Responsibilities
- Plan and conduct claim investigations, including interviewing insureds, witnesses, and claimants; collecting and evaluating documentation; securing evidence; and protecting the chain of custody.
- Analyze and confirm coverage and determine liability, compensability, and damages.
- Determine whether independent adjusters, cause-and-origin experts, or independent medical examiners are needed, and engage them as appropriate.
- Refer claims to the subrogation group or Special Investigations Unit when appropriate.
- Assess policy coverage and notify insureds of coverage issues.
- Establish reserve requirements and adjust reserves as needed while processing claims.
- Assess actual damages and negotiate claim settlements within assigned authority limits.
- Coordinate litigation activities for assigned claims to ensure timely and cost-effective resolution, and attend trials as a company representative.
- Serve as a senior technical professional on the team by assisting colleagues with escalated issues and mentoring and training new team members.
- Participate in the Quality Review process.
- Participate in Suit Committees, Roundtables, Arbitrations, Mediations, and field investigations, and may assist with closed file reviews.
- Perform other duties as assigned.
Benefits
- Travel, lodging, and meals covered during in-office training in Plano, Texas.
- Comprehensive benefits supporting employees' life and well-being.
- Workplace flexibility.
- Professional development opportunities.
- Employee Resource Groups.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
