Senior Claims Specialist, Miscellaneous Medical Facilities & Long-Term Care Professional Liability

Liberty Mutual Insurance; Plano (TX); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Liberty Mutual Insurance seeks an experienced Senior Claims Specialist to manage MMF/LTC Professional Liability claims from start to finish. You will investigate, reserve, document, and settle claims within authority, coordinating with counsel and underwriters as needed.

The role requires strong negotiation and regulatory knowledge, with travel and potential in-office days depending on location. A JD is a plus and 5+ years in related claims is preferred.

Qualifications

• 5+ years claims/legal experience in medical Professional Liability.
• Experience litigating MMF or LTC professional liability claims.
• Knowledge of claims handling concepts, coverage issues, and product line.
• Familiarity with law and insurance regulations in jurisdictions for MMF/LTC liabilities.

Responsibilities

• Analyze MMF/LTC Professional Liability claims from first notice of loss through resolution.
• Establish reserves for indemnity and expense within authority; review regularly for adequacy.
• Recommend reserves for claims outside authority level.
• Prepare comprehensive reports and communicate trends to management and underwriting.
• Manage litigation through retention of counsel and adhere to guidelines (budget, bill reviews).
• Monitor case resolution; participate in mediations/arbitrations within settlement authority.
• Participate in broker, risk manager, and reinsurer meetings.
• Maintain required adjuster licenses as needed.
• Occasional in-office requirements and travel; may work remotely if located away from offices.

Skills

MMF/LTC Claims

Negotiation

Analytical skills

Regulatory knowledge

Communication

Education

Bachelor's degree

JD preferred

Job description

Description

Liberty Mutual has an immediate opening for an experienced claims professional with focus on Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability. As a Senior Claims Specialist, you will handle a book of specialty lines MMF/LTC Professional Liability claims throughout the life of the claim. In this role, you will be 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.

Description

Liberty Mutual has an immediate opening for an experienced claims professional with focus on Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability. As a Senior Claims Specialist, you will handle a book of specialty lines MMF/LTC Professional Liability claims throughout the life of the claim. In this role, you will be 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 MMF/LTC Professional Liability claims from first notice of loss through resolution he loss to determine coverage and claim disposition.
• Within prescribed settlement authority for the 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.
• Adheres to the line of business litigation guidelines to include budget, bill review and payment.
• Monitors the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority.
• Participates in meetings with brokers, risk managers, and reinsurers.
• As required, maintains insurance adjuster licenses.
• This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. We will consider a remote candidate if you do not live within 50-miles of one of these offices. This policy is subject to change.

Qualifications

• Bachelors' and/or advanced degree. JD is a plus, especially with experience litigating Professional Liability claims (MMF or LTC).
• 5+ years claims/legal experience, with substantive, hands‑on, medical Professional Liability claims (providers and/or facilities).
• Functional knowledge of claims handling Professional Liability concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge.
• Functional knowledge of law and insurance regulations in various jurisdictions common to Miscellaneous Medical Facilities and/or Long-Term Care Professional Liability.
• Proven analytical, negotiation and written/verbal communication skills; able to present complex clinical and coverage positions to Counsel, Underwriters, Senior Management, and other applicable parties.

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.

About Us

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. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do your best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.

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://www.libertymutualgroup.com/about-lm/careers/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
• Los Angeles Incorporated
• Los Angeles Unincorporated
• Philadelphia
• San Francisco