Senior Claims Specialist, Worker's Compensation, Commercial Insurance

Employer
Liberty Mutual Insurance
Location
Tampa, Florida
Salary
Not Specified
Posted
Jul 10, 2019
Closes
Aug 31, 2019
Ref
6391638#GIJtoGJS.1
Industry
Insurance
Category
Insurance

Advance your career at Liberty Mutual - A Fortune 100 Company!

The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.

Responsibilities:

  • Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate.

  • Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.

  • Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.

  • Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process.

  • Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.

  • Performs other duties as assigned.

Qualifications:

  • Bachelor's degree (or equivalent training) plus 3 to 6 years claims adjusting experience.

  • Demonstrates an advanced to expert level knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the State's tort laws.

  • Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.

  • Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.

  • Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).

Benefits:

We value your hard work, integrity and commitment to positive change. In return for your service, its our privilege to offer you benefits and rewards that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits

Overview:

At Liberty Mutual, we give motivated, accomplished professionals the opportunity to help us redefine what insurance means; to work for a global leader with a deep sense of humanity and a focus on improving and protecting everyday lives. We create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued and their growth championed.

Were dedicated to doing the right thing for our employees, because we know that their fulfillment and success leads us to great places. Life. Happiness. Innovation. Impact. Advancement. Whatever their pursuit, talented people find their path at Liberty Mutual.

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