Senior MMF/LTC Professional Liability Claims Specialist

Liberty Mutual Insurance; Chicago (IL); Híbrido; USD 95.000 - 140.000; Jornada completa

Descripción de la vacante

Liberty Mutual Insurance is seeking an experienced Senior Claims Specialist focused on Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability. You will handle a book of specialist claims through life of the claim, investigate, reserve, monitor, and settle within authority.

You will manage litigation, coordinate with counsel, brokers, and risk managers, and ensure regulatory compliance across jurisdictions while maintaining required adjuster licenses.

Formación

• Bachelor's 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 coverage issues and product line knowledge.
• Functional knowledge of law and insurance regulations in jurisdictions common to MMF and/or LTC 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.

Responsabilidades

• Analyzes, investigates, and evaluates MMF/LTC Professional Liability claims from first notice of loss through resolution 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.

Conocimientos

Claims handling

Professional liability

Negotiation

Analytical skills

Written communication

Educación

Bachelor's degree

JD

Descripción del empleo

Liberty Mutual Insurance is seeking an experienced Senior Claims Specialist focused on Miscellaneous Medical Facilities (MMF) and Long-Term Care (LTC) Professional Liability. You will handle a book of specialist claims through life of the claim, investigate, reserve, monitor, and settle within authority.

You will manage litigation, coordinate with counsel, brokers, and risk managers, and ensure regulatory compliance across jurisdictions while maintaining required adjuster licenses.