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Liberty Mutual Insurance · 9 hours ago

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

Weatogue, CT

Full-time

Hybrid

Senior Level

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, conducting investigations, evaluating coverage, and managing the claims process efficiently within prescribed authority limits.

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 expertiseLegal knowledgeAnalytical skillsVerbal communicationWritten communicationDecision makingNegotiation skills