Claims Resolution Specialist

Company: Liberty Mutual Insurance
Location: San Francisco
Posted on: September 28, 2024

Job Description:

Schedule: Full-Time Salary Range: USD $81700.00 - $171100.00 Job Category: Claims 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 Liberty Mutual is currently hiring for a Small Commercial, Complex Senior Claims Resolution Specialist. This position will be r esponsible 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 and includes responsibility for handling claims involving severe and catastrophic injuries for small commercial claims. 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 evaluates coverage, liability, damages, in order to negotiate and settle severe and catastrophic injury and/or liability and coverage complexity claims within prescribed authority. Confidently negotiate 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, as needed. May 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. Acts as a liaison with various business partners. Qualifications Advanced knowledge of claims investigation, coverage, reserving, expense management, resolution strategy, negotiation, litigation management, as well as the legal and regulatory environment. Must have superior customer service aptitude and work well with customers, vendors and agents of diverse backgrounds. Excellent written and oral communications skills required as well as strong interpersonal, analytical, organizational, investigative and negotiation skills. Must be able to confidently and professionally handle conflict during negotiations while obtaining fair and reasonable outcomes. Demonstrated ability to work independently, achieve results and execute. Bachelor`s degree is preferred or equivalent work experience is required. 5 to 7 years of directly related experience required. Should actively pursue continuing education courses leading to industry certifications and participate in ongoing 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. 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. Fair Chance Notices California San Francisco Los Angeles Philadelphia Employment Type: Full Time

Keywords: Liberty Mutual Insurance, San Francisco , Claims Resolution Specialist, Other , San Francisco, California