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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Effectively and clearly communicates coverage positions to brokers and policyholders. Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establishes actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Participates in customer claim reviews as needed. 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., Workers Compensation Examiners, Underwriting, Service, Reinsurance, Etc.). Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to Employers Liability-related issues to Claims Management so appropriate action can be taken where required. Participates in special projects. Bachelor's degree and 5 to 7 years claims adjusting experience. 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. Must be willing and able to travel as needed to attend activities related to litigation, team and customer meetings, and other, which may include overnight travel. 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Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Recommends reserve increases on cases in excess of authority. Accountable for security of financial processing of claims, as well as security information contained in claims files. Updates files and provides comprehensive reports as required. Responsible for managing the practices and billing activities of outside and in-house counsel. Expected 10% travel for trials, mediations, and in-person events. 3+ years of Personal Lines Third Party Auto Casualty experience 3+years of Litigation experience Strong written and oral communications skills required. Strong interpersonal, analytical, negotiation and investigative skills required. Customer service experience preferred. Strong competency of legal liability, general insurance policy coverage and State Tort Law. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 3 years of directly related experience. 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Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "onsite", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618505719379", "isPrivate": false, "latlongs": "34.0514898,-84.0712997"}, {"id": 618505551456, "name": "Senior Director, APD Claims Quality Improvement", "location": "Boston, Massachusetts, United States", "locations": ["Boston, Massachusetts, United States", "Heathrow, Florida, United States", "Marlton, New Jersey, United States", "Indianapolis, Indiana, United States", "Warrenville, Illinois, United States", "Plano, Texas, United States", "Westborough, Massachusetts, United States"], "hot": 0, "department": "Claims", "business_unit": "3003-USRM-Claims & Service-US", "t_update": 1753980300, "t_create": 1752518460, "ats_job_id": "71247", "display_job_id": "2025-71247", "type": "ATS", "id_locale": "2025-71247-en", "job_description": "Lead the quality improvement program for USRM APD Claims and Subro. Enable the business to deliver best-in-class performance and results for personal lines and small commercial segments across a balance of loss control, expense, and customer service indicators. Manage and execute quality strategies that deliver business insights and drive operational improvements. Provide fact-based, data-driven assessments of organizational health, operational performance factors, key business risks (both longstanding and emerging), calibration, and effectiveness/impacts of continuous improvement efforts. Innovate and execute breakthrough approaches to drive operational excellence and improve consistency of claims business outcomes. Improve exception- and risk-based claims handling, leveraging predictive modeling, advanced data mining, process enhancements, and emerging technologies that improve quality and overall operating results. Provide leadership-level subject matter expertise in property claims handling and strategic quality improvement. Support and influence senior business leadership on opportunities to improve accuracy, service, ease, and speed across and beyond the USRM Claims organization Manage a 20 to 25-person, multi-layered team of property claims quality practitioners. Set clear performance expectations, deliver continuous feedback and coaching, and oversee selection of top talent. Understand and apply tools and practices to reinforce behaviors that create a culture of equity, inclusion, excellence, accountability, resilience, and growth mindset within teams. Partner closely with Claims Field, Process, Operations, Analytics, Training/Knowledge, and other teams to analyze and improve claims & service quality and to continuously improve the QI program itself. Provide guidance, leadership, and/or analytical support for relevant strategic initiatives and special projects to help improve performance of people, processes, and infrastructure. 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As required, maintains insurance adjuster licenses. Bachelors' and/or advanced degree; J.D. preferred. 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred. 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 advanced verbal and written communications skills. 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Working with Claims Enablement Strategy Directors, Claims Field Leaders, and UW partners to identify critical business questions that would value from deep Claims analysis and prioritize work based on expected impact of analysis. Set standards of what \"great\" Claims/UW analytical work looks like to ensure maximum impact of insights delivered. Develop deep expertise of Claims data gained through understanding of the history of our business mix, operational and organizational strategy, and environmental factors impacting the Casualty lines. Communicate with senior leadership and audiences of varying size, level, and exposure to drive collective and organizationally aligned action. Effectively build content that translates analysis into insights for audiences with varying levels of technical experience. Craft presentations that clearly articulate findings, insights, and recommendations. Develop and maintain high performing talent of the team. Advanced knowledge of data sources, tools, software applications, and business drivers. 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Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly. Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources. Manages an inventory of worker's compensation claims, evaluates compensability/liability and losses, and negotiates settlements within prescribed limits. Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols. Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action. Responsible for review, analysis, and disposition of assigned claims within authority limits and state compliance. Updates file, strategizes and executes plans to mitigate exposure and increase disposal. Effective interpersonal, analytical and negotiation abilities required. Ability to provide information in a clear, concise manner with an appropriate level of detail. Demonstrated ability to build and maintain effective relationships. Demonstrated success in a professional environment; success in a customer service/retail environment preferred. Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent. Knowledge of legal liability, insurance coverage and medical terminology are helpful, but not mandatory. Licensing may be required in some states.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618505818527", "isPrivate": false, "latlongs": "33.0198431,-96.6988856"}, {"id": 618505311576, "name": "Professional Liability Senior Claims Specialist", "location": "New York, New York, United States", "locations": ["New York, New York, United States", "Remote, Remote, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1751418780, "t_create": 1751201820, "ats_job_id": "71019", "display_job_id": "2025-71019", "type": "ATS", "id_locale": "2025-71019-en", "job_description": "Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes Liberty's claim system to document claims and to diary future events or follow-up. 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