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Complex Claims Resolution Specialist - Casualty

extra holidays
Remote: 
Full Remote
Contract: 
Salary: 
73 - 147K yearly
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree or equivalent experience, 7+ years of related experience, Expert knowledge in coverage and claims handling, 3 to 5 years of litigation experience, Ability to obtain necessary licensing.

Key responsabilities:

  • Investigate, evaluate, and resolve claims
  • Prepare for trials and conferences
  • Communicate with stakeholders for claim information
  • Identify suspicious claims and recommend actions
  • Manage billing activities of counsel
Liberty Mutual Insurance logo
Liberty Mutual Insurance Insurance Large https://www.libertymutualgroup.com/
HQ: Boston

Job description

Pay Philosophy

The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

Description

Personal lines Casualty Complex is currently hiring for a Senior Claims Resolution Specialist to handle our Mid-Atlantic Region. This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present high exposure or complex coverage or liability issues. Works autonomously within prescribed authority limits. This position includes responsibility for handling claims involving severe and catastrophic injuries.

Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.

Qualifications

Your background and qualifications will be evaluated against the skills and experiences required for the position and may be filled as:

  • Senior Claims Specialist II: $73,100 to $130,100. Annual Flexible Time Off Days: 15
  • Senior Claims Specialist III: $81,700 to $146,700. Annual Flexible Time Off Days: 20

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 and reports to Home Office and local management on status.
  • Confers with trial counsel and prepares trial reports.
  • Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action.
  • Responds to various written and telephone inquiries including status reports.
  • Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority.
  • Accountable for security of financial processing of claims, as well as security 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.

Preferred Qualifications

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

Qualifications

  • 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.

About Us

**This position may have in-office requirements depending on candidate location.**

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.

Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work® US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: https://jobs.libertymutualgroup.com/diversity-inclusion

We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits

Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.

Fair Chance Notices

  • California
  • San Francisco
  • Los Angeles
  • Philadelphia

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Problem Solving
  • Investigation
  • Non-Verbal Communication
  • Analytical Skills
  • Time Management
  • Detail Oriented
  • Mentorship
  • Social Skills

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