We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Advanced knowledge of Commercial Casualty insurance, claims investigation, coverage evaluation, loss assessment, reserving, insurance legal & regulatory environment, claims processes, applications/systems and procedures, medical terminology, and finance. Other skills required include: planning/organizing work, communication (verbal, written, presentation, etc), collaborating with others, diplomacy/tact, business/financial acumen, and adaptability. Bachelor's degree or equivalent and 7+ years of progressively more responsible related work experience. Primary and Excess experience, especially with Commercial Claims, is preferred! 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Understands how data flows through the financial systems to the accounting function, planning appropriately for changes and prioritizing and implementing enhancements. Uses increasing insight to identify and implement improvements that increase the business value and efficiency of the work performed. Initiates and/or leads increasingly complex projects and continuous improvement activities that may span beyond the scope of own team`s responsibilities. Delivers business results while building the team`s capabilities by setting challenging objectives and coaching the team to achieve them. Has the vision to create employee development plans that build strengths needed for the current operation and for the future. Takes action to attract, engage, and advance the careers of people from all backgrounds and experiences. May recommend changes to the structure of the organization to address changes in the business or improve customer service. 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Ability to understand and align business drivers in relation to compliance considerations. Ability to scope and integrate control frameworks and regulatory requirements into enterprise controlsand advise on control design to meet cybersecurity risk and compliance needs. Bachelors or Master's degree in technical discipline or equivalent experience Generally 5+ years of professional experience Highly proficient in security, risk and compliance concepts, processes and able to execute existing patterns. Highly capable consultative skills, including the ability to understand and assist in applying customer requirements. Knowledge of and experience with cybersecurity control, program, and risk frameworks such as CIS Controls, NIST CSF, ISO 27001, PCAOB (SOX) and AICPA regulations, Model Audit Rule (MAR), SSAE18 SOC 1 and relevant global frameworks preferred. Strong collaboration, prioritization, and adaptability skills required. Independent analytical thinking; thinking out of the box. Highly collaborative with peers, customers, and stakeholders on a technical and professional level and driven to improve service and engagement models. Ability to effectively communicate with all organizational levels. Organized and detail oriented. Ability to understand, interpret, and align requirements to corresponding IT policies and related content. Strong negotiation, facilitation and consensus building skills; strong oral and written communication skills; ability to present to senior contributors and management. 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Responsible for evaluating and assessing medical litigation claims and identifying the appropriate litigation strategy to minimize overall risk.Depending on jurisdiction, may attend court hearings or conferences and presents arguments to arbitrator and attorneys. Manages, evaluates and resolves claims assigned by Claims Team Manager. Evaluates liability, medical necessity, causality and settles claims within prescribed authority. Communicates with policyholders, agents, witnesses, and claimants in order to gather information regarding claims and refers tasks to auxiliary resources as necessary. Responds to various written and telephone inquiries including status reports. Reviews medical records and bills to verify claimed treatment is causally related to the accident and is reasonable and necessary given facts of the claim. Ensures adequacy of reserves and settlement authority. Confirms or denies coverage and liability and advises policyholders, agents and claimants as to proper course of action. Makes effective use of loss management techniques (IMEs, Nurse Review, andBill Review). Negotiates settlements with attorneys, claimants, and medical providers. Arranges for expert inspections involving third party or potential fraud actions as needed. Updates files and provides comprehensive reports as required. Identifies and recommends referral of potentially fraudulent claims to the Special Investigation Unit. Recognizes continuous improvement opportunities and develops problem statements and countermeasures for implementation commensurate with the parameters of current assignment. Strong written and oral communications skills required Good interpersonal, analytical, decision making and negotiation and influencing skills required Customer service experience preferred Knowledge of legal liability, general insurance policy coverage and the ability to review and understand medical records to determine causality and medical necessity The capabilities, skills and knowledge required is normally acquired through a Bachelors degree or equivalent experience and 3 to 5 years of directly related experience Ability to obtain proper licensing as required", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618497688568", "isPrivate": false, "latlongs": "37.09024,-95.712891"}, {"id": 618496905175, "name": "Senior Actuarial Manager", "location": "Boston, Massachusetts, United States", "locations": ["Boston, Massachusetts, United States", "Remote, Remote, United States", "Chicago, Illinois, United States", "New York, New York, United States", "Plano, Texas, United States", "Weatogue, Connecticut, United States"], "hot": 0, "department": "Actuarial", "business_unit": "0022-Corporate Finance-US", "t_update": 1715687700, "t_create": 1711977600, "ats_job_id": "63482", "display_job_id": "2024-63482", "type": "ATS", "id_locale": "2024-63482-en", "job_description": "Oversee adequacy and consistency of reserves across LM through objective and independent reserve reviews Develop frameworks and cultivate actionable insights on matters that have enterprise-wide impacts Drive reserving innovation through the research and application of alternative methods and approaches to address existing and potential opportunities Influence key strategic decisions related to reserving through compelling, targeted and comprehensive communications around reserve analysis results Collaborate with reserving teams across the company to connect related work, identify reserving themes and share best practices Develop strategies around comprehensive monitoring to efficiently highlight emerging trends Lead cross-business unit and cross-functional projects that significantly impact the Company's decisions around reserve levels Lead cross-business unit and cross-functional projects that set standards and expectations regarding how we measure and monitor macro events that impact reserving FCAS with at least 10 years of progressively increasing experience in actuarial roles; reserving and supervisory experience preferred Broad knowledge of personal, commercial and specialty insurance; experience with non-US business and reinsurance preferred Experience building consensus and executing on change with cross-functional teams Advanced decision making and problem-solving skills Exceptional team building and employee development skills Track record of forming trusted relationships with business leaders Demonstrated experience providing proactive guidance to drive business value Excellent written and verbal communication skills; ability to tailor messaging to diverse audiences Adheres to the highest standards of personal and professional integrity", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618496905175", "isPrivate": false, "latlongs": "42.3600825,-71.0588801"}, {"id": 618497493614, "name": "Insurance Defense Attorney", "location": "Hauppauge, New York, United States", "locations": ["Hauppauge, New York, United States", "New York, New York, United States"], "hot": 0, "department": "Legal", "business_unit": "0014-Corporate Legal-US", "t_update": 1715687640, "t_create": 1714592880, "ats_job_id": "64042", "display_job_id": "2024-64042", "type": "ATS", "id_locale": "2024-64042-en", "job_description": "Experienced litigation attorney: You'll manage the entire legal process, from investigation and discovery though trial prep and court proceedings representing clients in depositions, site inspections, court hearings, trials, etc. and negotiating settlements as required. Strategic partner: Researching all applicable laws and findings, you will develop appropriate legal strategies for all stages of litigation and share them with claims representatives and insured clients. People person: You'll establish and maintain good relationships with claims representatives and insured clients, and occasionally conduct training sessions for Legal, Claims or other departments. Effective communicator: You'll develop and render clear, unambiguous legal opinions and strategies, and draft legal documents including pleadings and motions. Collaborative mentor: You'll provide guidance and direction to junior attorneys, paralegals or law clerks, while also having opportunities to interact and collaborate with Home Office Legal. Venues covered including Queens and NYC venues. What you've got: Membership in the New York State Bar Appropriate special licenses to practice before boards or federal courts preferred A minimum of three years of successful experience conducting discovery, depositions, oral arguments, mediations, arbitrations, hearings and trials. Experience representing insurance companies Talent for cultivating strong working relationships with internal and external partners Aptitude for detailed, analytical thinking Process-oriented mindset, with proven ability to meet deadlines and stay organized Persuasive oral and written communication skills Knowledge of insurance law Familiarity with the latest developments in the practice of law, as well as pertinent knowledge in related fields Proficiency with technologies that reduce costs and facilitate the practice of law and remote work A JD degree", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618497493614", "isPrivate": false, "latlongs": "40.8256536,-73.2026138"}, {"id": 618497086514, "name": "Senior Technical Claims Specialist, Commercial Lines Excess Coverage", "location": "Remote, Remote, United States", "locations": ["Remote, Remote, United States", "Boston, Massachusetts, United States", "Plano, Texas, United States", "Hoffman Estates, Illinois, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1715687700, "t_create": 1712923260, "ats_job_id": "63648", "display_job_id": "2024-63648", "type": "ATS", "id_locale": "2024-63648-en", "job_description": "* Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes Claims systems to document claims and to diary future events or follow-up. 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 relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.). 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 Claims audit process. May provide claims marketing services by participating in meetings with brokers, risk managers and re-insurers. Participates in special projects. Bachelor's degree and 5 to 7 years of relevant claims handling experience. Experience with Commercial Umbrella policies/Excess claims averaging $1-3 million or more preferred! Experience with Coverage A and Coverage B claims on admitted and non-admitted paper a plus! Advanced knowledge of Commercial Casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly. Experience mentoring others and/or serving as Subject Matter Expert with related claims. 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Support the strategic analysis and monitoring of risk exposures to provide insights into risk accumulations, market and risk trends and developments. Coordinate with key stakeholders to assess and improve understanding of the risk accumulation scenarios or clash events that have the greatest potential to cause a material loss. Support the development of risk limits, underwriting guideline considerations and best practices, and other product management actions. Support underwriting and pricing quality reviews to evaluate adherence to Liberty standards and guidance, assess the reasonableness of key assumptions and selections, and review for appropriate use of approved pricing tools. Contribute to risk-based validation of loss models and new pricing tools including review and effective challenge of key assumptions and parameters. Contribute to regular reporting for internal risk-governance bodies as required. Contribute to Credit and Financial Products projects and initiatives as required. Coordinate with Underwriting and Operations to develop data standards that improve quality and breadth of exposure information, collected to facilitate transparent and informed risk taking. Bachelor's degree required; Master's degree preferred. Associateship or Fellowship in the Casualty Actuarial Society (ACAS/FCAS) or in Society of Actuaries (ASA/FSA) designation preferred or comparable education/designation with relevant experience. Minimum 5-7 years relevant experience required. Sound knowledge of actuarial techniques and standards, as well as other business operations including financial, underwriting, legal, statistics, claims, sales, etc. Advanced communication and interpersonal skills and ability to build relationships and interact effectively with others within and outside the organization. Ability to motivate and mentor peers and motivate and train subordinates. 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