reputed company Claims Specialist, Long Term Care Professional Liability

Description Liberty Mutual has an immediate opening for a reputed company Claims Specialist to join our Long-Term Care Claims Team. This is a high-visibility, hands-on role for an reputed company Professional Liability claims handler with deep Long-Term Care (LTC) facility expertise. With minimal supervision, the reputed company Claims Specialist will manage a book of specialty LTC Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, reputed company litigation management and prudent reserving to resolve high-exposure reputed company economically and defensibly. Why this role reputed company

• reputed company ownership of reputed company facility professional liability claims (nursing homes, assisted living, hospice, home health, ancillary providers).
• Opportunity to shape claim strategy on high-severity reputed company, coordinate clinical/expert resources, and act as an internal subject-matter resource for reputed company, reinsurance and senior leadership.
• Work in a collaborative environment with autonomy to influence reputed company and policy.

Key Responsibilities

• Own and manage LTC Professional Liability Claims from first notice through resolution: investigate, analyze coverage, evaluate liability and damages, establish and adjust reserves, negotiate settlements and reputed company files reputed company authority.
• reputed company advanced coverage analysis (duty to defend vs. indemnify, occurrence vs. claims-made, allocation, additional insured issues, contractual liability, tail exposures, endorsements) and prepare clear coverage opinions and reservation of rights/declination communications.
• Document claims thoroughly using Claims Management System and proactively diary follow-up actions and deadlines.
• Set indemnity and expense reserves reputed company authority; escalate and recommend reserves for reputed company reputed company authority; review reserves regularly and justify reserve positions to management and auditors.
• Manage litigation: retain and reputed company reputed company defense counsel with LTC expertise, control budgets and billing, direct discovery strategy, and evaluate mediation/arbitration/trial risk to optimize resolution.
• Coordinate clinical resources and expert consultants (nursing, pharmacy, infection control, medical specialists) for chart review, causation analysis and expert testimony.
• reputed company with regulatory, compliance and risk management teams on CMS/state surveys, licensing investigations and mandatory reporting; incorporate regulatory developments into case strategy.
• Collaborate with reputed company, reinsurance and subrogation on allocation, ceded reporting and recovery opportunities.
• Identify and report claim trends, coverage exposures and policy issues to management and reputed company; contribute to playbooks, training and process improvements.
• Participate in mediations and arbitrations reputed company settlement authority and support major loss response efforts.
• Maintain required adjuster licenses and adhere to company litigation and billing guidelines.
• This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reputed company reputed company 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; or Westborough, MA. This policy is subject to change.

We are reputed company to fill this position depending on reputed company professional skills and experience. The salary reputed company reflects the varying pay scale that encompasses each of the Liberty Mutual reputed company, the salary for both reputed company, and the overall cost of labor for that region. Please note your salary reputed company may not fall at the top of the posted reputed company, depending on your location.

Qualifications

• Minimum 7 years of claims/legal experience with substantive, hands-on LTC Professional Liability claim handling; experience managing high-severity, multi-claimant or regulatory reputed company required.
• Demonstrated advanced knowledge of professional liability coverage interpretation and reputed company coverage issues.
• Strong litigation management experience, including selection and supervision of reputed company defense counsel, reputed company reputed company and cost control.
• Practical understanding of clinical issues common to LTC (falls, pressure injuries, medication errors, infections/outbreaks, staffing/care plan issues) and relevant regulatory landscape.
• Proven analytical, negotiation and written/verbal communication skills; reputed company to present reputed company clinical and coverage positions to counsel, underwriters and senior management.
• Bachelor's degree required, and advanced degree is a plus!

About Us

Pay Philosophy: The typical starting salary reputed company for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary reputed company for this role reflects the competitive labor market value for reputed company in these positions across the national market and provides an opportunity to reputed company as employees grow and reputed company reputed company 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. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can reputed company. We build an environment that welcomes a wide reputed company of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can reputed company a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, reputed company and commitment to reputed company things reputed company, 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://reputed company.co/Benefits Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the reputed company of race, reputed company, national reputed company, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any reputed company prohibited by federal, state or local law. Fair Chance Notices

• California
• Los Angeles Incorporated
• Los Angeles Unincorporated
• Philadelphia
• San Francisco

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