Senior Technical Claims Specialist

Senior Technical Claims Specialist

The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert.

Responsibilities :

• As the claim's owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
• Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
• Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations.
• Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit.
• Responsible for managing the practices and billing activities of outside counsel.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.).
• Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues.
• May analyze the impact upon claims policies and procedures and advises Claims.
• Management so appropriate action can be taken where required.
• Participates in special projects.

Qualifications :

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.