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Senior or Complex Claims Specialist, Managed Care Commercial Litigation

Company: Liberty Mutual Insurance
Location: Somerville
Posted on: November 12, 2021

Job Description:

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.

With moderate to minimal supervision, (dependent upon experience and role assigned), handles a book of Managed Care Errors & Omissions and Directors & Officers liability claims, throughout the entire claim's life cycle. Responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business.



Responsibilities:

Analyzes, investigates, and evaluates third party liablity claims to determine coverage and claim disposition.
Utilizes claims system to document claims and to diary future events or follow-up.
Within prescribed settlement authority for line of business, 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 and communicates and collaborates with defense counsel, vendors and outside experts to inform resolution strategy.
Actively participates in mediations and arbitrations, within limit of settlement authority.
Provides claims marketing services by participating in meeting with brokers, risk managers and reinsurers, as necessary and depending upon role assigned.
As required, maintains insurance adjuster licenses.



Qualifications:

Bachelors' degree.
2-5 or 5-10 years claims or relevant experience, depending upon role assigned. Managed Care liability claims experience preferred.
Demonstrated strong verbal and written communications and strong analytical skills.

Keywords: Liberty Mutual Insurance, Somerville , Senior or Complex Claims Specialist, Managed Care Commercial Litigation, Legal , Somerville, Massachusetts

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