• Manages, investigates and evaluates coverage, liability, damages, in order to negotiate and settle severe and catastrophic injury and/or liability and coverage complexity claims within prescribed authority.
• Confidently negotiate claims to fairly resolve pending inventory.
• Plans and conducts detailed investigations to analyze and confirm coverage and to determine liability, compensability and damages of claims.
• Effectively utilizes tools to evaluate claims.
• Obtains detailed coverage and liability statements on complex claims.
• Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
• Ensures adequacy of reserves.
• Recommends reserve increases on cases in excess of authority.
• Succinctly and professionally present cases to senior leadership for reserves and evaluation authority as required by preset value ranges.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Proficiently and proactively handle the claim file through various phases of litigation. Independently review the applicability of coverage and civil law as well as local statutes.
• Recognize coverage issues and what policy language and facts should be considered.
• Attend mandatory and court ordered litigation events.
• Communicates with various parties associated with the claim. Respond to written and verbal inquiries in a timely and professional manner, ensuring compliance within all company and statutory guidelines.
• Prepare detailed and comprehensive initial reports and follow up reports with concise and effective action plans designed to move the claim towards resolution.
• Identifies potential suspicious claims and refers to the Special Investigation Unit and identifies opportunities for third party subrogation.
• Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues.
• May analyze the impact upon claims policies and procedures and advises Claims Management.
• Participates in or leads special projects and mentors others, as needed.
• May serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests.
• Assist with learning and development of less tenured adjusters in various legal, injury and venue specific arenas.
• Acts as a liaison with various business partners.

Qualifications

• Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
• Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively.
• Demonstrates an expert level knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree or equivalent training plus 4 to 6 years directly related work experience (at least two of which should ordinarily be in a team leader capacity).
• Licensing required in some states.

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.

Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work® US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: https://jobs.libertymutualgroup.com/diversity-inclusion

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/Benefits

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.