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Senior Claims Resolution Specialist, Small Commercial Complex Casualty

AT Liberty Mutual Insurance
Liberty Mutual Insurance

Senior Claims Resolution Specialist, Small Commercial Complex Casualty

Remote

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
Our Small Commercial Complex Casualty team is currently hiring for Senior Claims Resolution Specialists who will e fficiently and independently manage small commercial claims that present the highest complexity, exposure and/or complex coverage or liability issues. In this role, you will determine coverage, liability, set and adjust reserves, evaluate the claim, manage the litigation and negotiate settlements. You will work within prescribed authority limits handling claims and investigate and determine liability of all parties involved. Also, you will ensure delivery of high-quality customer service to protect our insured, and assets of the company. And of course, demonstrate the highest level of expertise and sound judgment in complex matters; often serves as a subject matter expert.

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Your background and qualifications will be evaluated against the skills and experiences required for the position and may be filled as:
  • Senior Claims Resolution Specialist I: $73,100 to $130,100. Annual Flexible Time Off (15 days)
  • Senior Claims Resolution Specialist II or III: $81,700 to $166,100. Annual Flexible Time Off (20 days)
Responsibilities
  • Manages, investigates and evaluates coverage, liability, damages, in order to negotiate and settle the most severe and catastrophic injury and/or liability and coverage complexity claims within prescribed authority.
  • Using advanced negotiation skills, negotiates claims to fairly resolve pending inventory.
  • Plans and conducts detailed investigations to analyze and confirm coverage and to determine liability, compensability and damages of claims. Effectively utilizes tools to evaluate claims. Obtains detailed coverage and liability statements on complex claims. Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
  • Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Succinctly and professionally present cases to senior leadership for reserves and evaluation authority as required by preset value ranges. Accountable for security of financial processing of claims, as well as security information contained in claims files.
  • Proficiently and proactively handle the claim file through various phases of litigation.
  • Independently review the applicability of coverage and civil law as well as local statutes. Recognize coverage issues and what policy language and facts should be considered. Attend mandatory and court ordered litigation events.
  • Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines.
  • Prepare detailed and comprehensive initial reports and follow up reports with concise and effective action plans designed to move the claim towards resolution.
  • Identifies potential suspicious claims and refers to the Special Investigation Unit and identifies opportunities for third party subrogation. Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues. May analyze the impact upon claims policies and procedures and advises Claims Management.
  • Participates in or leads special projects and mentors others. May assist with training.
  • Serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests. Assist with learning and development of less tenured adjusters in various legal, injury and venue specific arenas and serve as a mentor and subject matter expert in areas of specialty.
  • Acts as a liaison with various business partners.
Qualifications
  • Expert knowledge of Small Commercial Complex claims investigation, coverage, reserving, expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the legal and regulatory environment
  • Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills
  • Must be able to confidently and professionally handle conflict during negotiations while obtaining fair and reasonable outcomes
  • Must have superior customer service aptitude and work well with customers, vendors and agents of diverse backgrounds
  • Demonstrated ability to work independently, mentor other employees and serve as a subject matter expert
  • Bachelor`s degree is preferred or equivalent work experience is required
  • 7 to 9 years of directly related experience required
  • Should actively pursue continuing education courses leading to industry certifications and participate in ongoing medical, legal and industry related trainings on an ongoing basis
  • Must maintain all applicable licenses
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

Job ID: liberty_mutual-2024-67378-en_1
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Long-Term Disability
    • FSA
    • HSA With Employer Contribution
    • HSA
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Mental Health Benefits
  • Parental Benefits

    • Birth Parent or Maternity Leave
    • Non-Birth Parent or Paternity Leave
    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Office Life and Perks

    • Commuter Benefits Program
    • Happy Hours
    • Snacks
    • Company Outings
    • On-Site Cafeteria
  • Vacation and Time Off

    • Personal/Sick Days
    • Paid Holidays
    • Paid Vacation
    • Volunteer Time Off
  • Financial and Retirement

    • Performance Bonus
    • Pension
    • 401(K) With Company Matching
    • 401(K)
    • Financial Counseling
  • Professional Development

    • Mentor Program
    • Promote From Within
    • Learning and Development Stipend
    • Tuition Reimbursement
    • Internship Program
    • Leadership Training Program
    • Associate or Rotational Training Program
    • Access to Online Courses
    • Lunch and Learns
  • Diversity and Inclusion

    • Diversity, Equity, and Inclusion Program
    • Employee Resource Groups (ERG)

Company Videos

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