Job Closed
This listing is no longer active.
Liberty Mutual is a leading global insurance corporation and one of the largest casualty and property insurance companies in the nation. In the past, Liberty Mu
Senior Claims Resolution Specialist
Location
United States
Posted
123 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Senior Claims Resolution Specialist
Liberty Mutual
Role Description Responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present high exposure or complex coverage or liability issues. Works autonomously within prescribed authority limits. This position includes responsibility for handling claims involving severe and catastrophic injuries. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Responsibilities: - Manages, investigates, and resolves claims. - Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority. - Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office. - Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. - Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. - Confers with trial counsel and prepares trial reports. - Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action. - Responds to various written and telephone inquiries including status reports. - Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. - Accountable for security of financial processing of claims, as well as security information contained in claims files. - Responsible for managing the practices and billing activities of outside and in-house counsel. - May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies. - May be involved in special projects and/or mentoring at the direction of local management. Ideal experience includes: - A strong background in casualty, litigation and coverage analysis and the writing of coverage position letters. - Small commercial general liability claims background. Qualifications - Must have an expert knowledge of coverage, liability, and complex claims handling procedures. - Must be able to effectively handle claims at the highest technical and complexity level. - Must be knowledgeable of state and federal laws in the adjuster's jurisdiction. - A full working knowledge of claims operations and procedures is required. - Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills. - The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience. - Ability to obtain proper licensing as required. Benefits - Comprehensive benefits. - Workplace flexibility. - Professional development opportunities. - Opportunities provided through Employee Resource Groups. Company Description At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. 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. 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.
Job Requirements
- Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
- Must be able to effectively handle claims at the highest technical and complexity level.
- Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
- A full working knowledge of claims operations and procedures is required.
- Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills.
- The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience.
- Ability to obtain proper licensing as required.
Benefits
- Comprehensive benefits.
- Workplace flexibility.
- Professional development opportunities.
- Opportunities provided through Employee Resource Groups.
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
Commercial Auto Claims Adjuster
AAA - American Automobile AssociationA nonprofit founded in 1902 in Chicago, Illinois, the American Automobile Association (AAA) is recognized as North America’s largest provider of travel and mo
• Contacts insureds, claimants, and other involved parties to confirm loss details and applicable policy coverage • Explains claims process, next steps, and outcomes to involved parties • Investigates, evaluates, negotiates, and settles first- and third-party auto/property damage claims from start to finish • Takes inbound calls from customers and maintains an inventory of pending claims • Conducts coverage and liability investigations • Advises customers of available benefits, coverages, and liability outcomes • Coordinates and oversees the claims process; keeping customers informed • Negotiates estimating damages and supplements • Validates reparability and monitors repairs • Arranges towing, storage, and rental vehicles as needed • Addresses subrogation and total loss responsibilities • Ensures the insurance program agreements and Claim Service Level agreements between external clients and Mobilitas Insurance are adhered to • Ensures compliance that specific state regulations and/or policy provisions is completed with needed file documentation and appropriate correspondence
Pharmacy Technician – Claims Analyst
CVS HealthCVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca
• Responsible for reviewing pharmacy claims submitted through the CVS Health claims processing systems • Identify and rectify claim inaccuracies that would result in client over-payment • Contact pharmacies for proper documentation to ensure a claim was submitted correctly • Monitor assigned clients and report status on a regular basis • Follow appropriate policies in the event of an inaccurate claim submission
Claims Investigator - Experienced
Command InvestigationsPrivate investigators for the insurance defense community.
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer.
Indemnity Claims Specialist
CorVel Career SiteCorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. - Receives claims, confirms policy coverage and acknowledgment of the claim - Determines validity and compensability of the claim - Establishes reserves and authorizes payments within reserving authority limits - Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision - Communicates claim status with the customer, claimant and client - Adheres to client and carrier guidelines and participates in claims review as needed - Assists other claims professionals with more complex or problematic claims as necessary - Additional duties as assigned Qualifications - Excellent written and verbal communication skills - Ability to learn rapidly to develop knowledge and understanding of claims practice - Ability to identify, analyze and solve problems - Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets - Strong interpersonal, time management and organizational skills - Ability to meet or exceed performance competencies - Ability to work both independently and within a team environment Requirements - Bachelor's degree or a combination of education and related experience - Minimum of 1 year of industry experience and claims management preferred - State Certification as an Experienced Examiner Benefits - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).



