Senior Technical Claims Specialist, Verticals & Programs

Overview

On Site
Full Time

Skills

Health care
Documentation
Lawsuit
Billing
Accountability
Finance
Underwriting
Reinsurance
IMPACT
Policies and procedures
Expense management
Strategy
Negotiations
Litigation
Management
Evaluation
Insurance
Legal
Customer focus
Problem solving
Teamwork
Adaptability

Job Details

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
Liberty Mutual has an immediate role as a Senior Technical Claims Specialist. This role is in GRS NA US Casualty Specialized Claims - Verticals & Programs, and the team handles Complex claims for Public Entity, Healthcare, Liberty Mutual Programs and more.

The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert.

Responsibilities:
  • As the claim s owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
  • Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
  • Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations.
  • Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit.
  • Responsible for managing the practices and billing activities of outside counsel.
  • Accountable for security of financial processing of claims, as well as security information contained in claims files.
  • Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.).
  • Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues.
  • May analyze the impact upon claims policies and procedures and advises Claims.
  • Management so appropriate action can be taken where required.
  • Participates in special projects.
Qualifications
  • Bachelor s degree and 5 to 7 years claims adjusting experience.
  • Advanced knowledge of commercial casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment.
  • Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly
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:

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:

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
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.