Senior Complex Medical Professional Liability Specialist

Liberty Mutual Insurance; United States; Híbrido; USD 90.000 - 130.000; Jornada completa

Descripción de la vacante

Liberty Mutual Insurance seeks a Complex Claims Specialist to join our Miscellaneous Medical Facilities Claims Team. This high-visibility role handles professional liability matters from start to finish with advanced coverage interpretation, clinical issue spotting, and strategic reserves.

You will lead complex claims, coordinate with experts, and liaise with underwriting and senior leadership. Some in-office presence is required; remote options considered depending on location.

Formación

• Bachelor's and/or advanced degree. JD is a plus.
• 7+ years claims/legal experience, with at least 2 years within a technical specialty preferred.
• Medical Malpractice claims experience strongly desired.
• Advanced knowledge of claims handling 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.
• Demonstrated advanced verbal and written communications skills.
• Demonstrated advanced analytical, decision making, and negotiation skills.
• Obtain and maintain Adjuster's license.

Responsabilidades

• Own and manage Professional Liability Claims from first notice through resolution: investigate, analyze coverage, evaluate liability and damages, establish and adjust reserves, negotiate settlements and close files within authority.
• Perform advanced coverage analysis (duty to defend vs. indemnify, occurrence vs. claims-made, allocation, additional insured issues, contractual liability, tail exposures, endorsements) and prepare clear coverage opinions and reservation of rights/declination communications.
• Document claims thoroughly using Claims Management System and proactively diary follow-up actions and deadlines.
• Set indemnity and expense reserves within authority; elevate and recommend reserves for matters outside authority; review reserves regularly and justify reserve positions to management and auditors.
• Manage litigation: retain and oversee outside defense counsel with LTC expertise, control budgets and billing, direct discovery strategy, and evaluate mediation/arbitration/trial risk to optimize resolution.
• Coordinate clinical resources and expert consultants (nursing, pharmacy, infection control, medical specialists) for chart review, causation analysis and expert testimony.
• Collaborate with underwriting, reinsurance and subrogation on allocation, ceded reporting and recovery opportunities.
• Identify and report claim trends, coverage exposures, and policy issues to management and underwriting; contribute to playbooks, training and process improvements.
• Participate in mediations and arbitrations within settlement authority and support major loss response efforts.
• Maintain required adjuster licenses and adhere to company litigation and billing guidelines.
• 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.

Conocimientos

Medical malpractice

Coverage analysis

Litigation management

Negotiation

Verbal & written communication

Adjuster license

Educación

Bachelor's or higher (JD a plus)

Herramientas

Claims Management System

Descripción del empleo

Liberty Mutual Insurance seeks a Complex Claims Specialist to join our Miscellaneous Medical Facilities Claims Team. This high-visibility role handles professional liability matters from start to finish with advanced coverage interpretation, clinical issue spotting, and strategic reserves.

You will lead complex claims, coordinate with experts, and liaise with underwriting and senior leadership. Some in-office presence is required; remote options considered depending on location.