Senior Claims Specialist, Miscellaneous Medical Facilities & Long-Term Care Professional Liability

Liberty Mutual•Weatogue, CT

About The Position

Liberty Mutual is hiring an experienced claims professional focused on Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability. The Senior Claims Specialist manages a specialty-lines book of MMF/LTC Professional Liability claims throughout the claim lifecycle, conducting investigations, recommending and monitoring reserves, documenting claim activity, and resolving claims expeditiously and economically within prescribed authority limits. The role may have in-office requirements and other travel needs depending on the candidate’s location. Employees residing within 50 miles of Boston, Hoffman Estates, Indianapolis, Lake Oswego, Las Vegas, Plano, Suwanee, Chandler, or Westborough must work from an office twice a month. Candidates who do not live within 50 miles of one of these offices may be considered for remote work. This policy may change.

Requirements

Bachelor’s degree and/or advanced degree.
At least 5 years of claims or legal experience, including substantive, hands-on medical Professional Liability claims experience involving providers and/or facilities.
Functional knowledge of Professional Liability claims handling concepts, practices, and techniques, including coverage issues and product-line knowledge.
Functional knowledge of law and insurance regulations in jurisdictions commonly associated with Miscellaneous Medical Facilities and/or Long-Term Care Professional Liability.
Proven analytical, negotiation, and written and verbal communication skills.
Ability to present complex clinical and coverage positions to counsel, underwriters, senior management, and other applicable parties.

Nice To Haves

Juris Doctor (JD), especially with experience litigating Professional Liability claims involving MMF or LTC.

Responsibilities

Analyze, investigate, and evaluate MMF/LTC Professional Liability claims from first notice of loss through resolution to determine coverage and claim disposition.
Establish appropriate indemnity and expense reserves within prescribed settlement authority, review them regularly for adequacy, and recommend reserve levels for claims outside that authority.
Prepare comprehensive reports as required.
Identify and communicate claim trends and account or policy issues to management and underwriting.
Manage litigation through retention of counsel and adhere to line-of-business litigation guidelines, including budget, bill review, and payment.
Monitor the case resolution process.
Participate actively in mediations and arbitrations within settlement authority limits.
Participate in meetings with brokers, risk managers, and reinsurers.
Maintain insurance adjuster licenses as required.