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Liberty Mutual Insurance · 2 months ago

Complex Claims Specialist, Managed Care, E&O, D&O

United States

Full-time

Remote

Senior Level

$92K/yr - $176K/yr

7+ years exp

Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience. The role involves handling a book of specialty lines claims throughout the entire claim's life cycle, including conducting investigations, evaluating coverage, and settling claims.

FinanceFinancial ServicesInsurance

Responsibilities

Analyzes, investigates and evaluates the loss to determine coverage and claim disposition

Utilizes proprietary claims management system to document claims and to diary future events or follow up

Issue detailed coverage position letters for all new claims within prescribed time frames

Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level

Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting

Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment

Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority

Participates in the claims audit process

Provides claims marketing services by meeting with brokers and insureds

As required, maintains insurance adjuster licenses

Qualification

Claims handling experienceManaged Care knowledgeE&OD&O expertiseAnalytical skillsNegotiation skillsInsurance regulations knowledgeVerbal communicationWritten communicationDecision making

Required

Bachelors' and/or advanced degree

7 + years claims/legal experience, with at least 2 years within a technical specialty preferred (Managed Care, Errors & Omissions and Directors & Officers)

Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge

Functional knowledge of law and insurance regulations in various jurisdictions

Demonstrated advanced verbal and written communications skills

Demonstrated advanced analytical, decision making and negotiation skills