Claims Officer, Long Term Care - job 2 of 2

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.

Description

Liberty Mutual has an immediate opening for a Claims Officer, Long Term Care.  With minimal supervision, the Claims Officer  handles a book of specialty lines claims, throughout the entire claim's life cycle.  The Claims Officer 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.

*This position may have in-office requirements and other travel needs depending on candidate location.  You will be required to go into the 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; Westborough, MA; or Weatogue, CT.  Please note this policy is subject to change.

***This is a range posting, and we may fill as Complex Claims Specialist or Claims Officer, depending on candidate experience. The salary range posted reflects this range and various geographic remote locations. A typical salary will be between $105,000-$125,000.

• Complex Claims Specialist Salary: $92,000-176,000 (based on candidate location and experience)
• Claims Officer Salary: $104,0000-197,000 (based on candidate location and experience)

Responsibilities

• Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition.
• Utilizes CMS to document claims and to diary future events or follow-up.
• Within prescribed settlement authority for 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.
• Pro-actively manages the case resolution process.
• Actively participates in mediations and arbitrations, within limit of settlement authority.
• Participates in the claims audit process.
• Provides claims marketing services by meeting with brokers, risk managers and re-insurers, as necessary.
• As required, maintains insurance adjuster license.

Qualifications

• Bachelors' and/or advanced degree.
• 10 + years claims experience, with at least 5 years within a technical specialty.
• Health Care Claims experience required.
• Highly 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 superior verbal and written communications skills.
• Highest level of advanced analytical, decision making and negotiation skills.
• All-lines Adjusters License is required.

About Us

As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.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://LMI.co/BenefitsLiberty 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

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