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

Liberty Mutual Insurance•Boston, MA

6d•$83,000 - $157,000

About The Position

Liberty Mutual is hiring an experienced claims professional to handle a portfolio of specialty-lines Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability claims throughout the claim lifecycle. The role includes investigating claims, recommending and maintaining appropriate reserves, monitoring and documenting claim activity, and settling or closing claims promptly and economically within prescribed authority limits. The position may require office attendance and travel depending on the candidate’s location. Employees living within 50 miles of a listed office are required to go into an office twice a month; candidates outside those areas may be considered for remote work. This policy is subject to change. The position requires a bachelor’s and/or advanced degree and at least five years of claims or legal experience, including substantive hands-on medical Professional Liability claims experience involving providers and/or facilities. A JD is a plus, particularly with experience litigating Professional Liability claims in MMF or LTC. Candidates should have functional knowledge of Professional Liability claims handling, coverage issues, relevant products, and applicable laws and insurance regulations, as well as strong analytical, negotiation, and communication skills. Liberty Mutual describes its workplace as inclusive and supportive, with workplace flexibility, professional development opportunities, Employee Resource Groups, and benefits intended to support employees’ lives and well-being. The posting does not specify particular benefit offerings or a salary figure; compensation depends on factors including skills, experience, education, certifications, and location.

Requirements

Bachelor’s and/or advanced degree.
At least 5 years of claims or legal experience, including substantive, hands-on medical Professional Liability claims 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 laws and insurance regulations in jurisdictions common to MMF and/or LTC 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

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 authority and review them regularly for adequacy.
Recommend appropriate reserve levels for claims beyond the role’s authority.
Prepare comprehensive reports as required and communicate claim trends and account or policy issues to management and underwriting.
Manage litigation through the retention of counsel.
Follow line-of-business litigation guidelines, including budgeting, bill review, and payment.
Monitor the case resolution process and participate actively in mediations and arbitrations within settlement authority.
Participate in meetings with brokers, risk managers, and reinsurers.
Maintain insurance adjuster licenses as required.