Senior Technical Claims Specialist, Excess Coverage and Specialized Claims

Description

Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist to join our Employers Liability Complex Team.  The Senior Technical Claims Specialist investigates complex and highly complex Commercial Casualty Employers Liability claims, which includes: investigating and determining coverage, drafting coverage position letters, determining liability, evaluating and setting reserves, directing all aspects of litigation, evaluating the claim for settlement, and negotiating a settlement.  Additionally, the Senior Technical Claims Specialist demonstrates a high level of expertise and sound judgment in complex matters and may act as a subject matter expert. 

 

Please note you will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Weatogue, CT.  Please note this policy is subject to change.

 

We are open to fill the position depending on related professional skills and experience as a Senior Technical Claims Specialist I or II.  The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions, salary for both positions, and the overall cost of labor for that region.

 

Responsibilities:

• As the claim’s owner, determines coverage, investigates the claim, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
• Effectively and clearly communicates coverage positions to brokers and policyholders.
• Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establishes actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations.
• Participates in customer claim reviews as needed.
• 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., Workers Compensation, Underwriting, Service, Reinsurance, Etc.).
• Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to Employers Liability-related issues to 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.
• Focus will be on candidates who have Employers Liability claims experience.
• 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.
• Must be willing and able to travel as needed to attend activities related to litigation, team and customer meetings, and other, which may include overnight travel.
• Must be willing to obtain and maintain Adjusters License.

About Us

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.As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with car