Senior Claims Resolution Specialist II, Casualty

4 weeks ago


Liberty Lake, United States Liberty Mutual Full time

Job Summary

The Senior Claims Resolution Specialist II, Casualty is responsible for investigating, evaluating, and resolving claims within prescribed authority levels. This role requires a strong understanding of coverage, liability, and complex claims handling procedures.

Key Responsibilities

  • Manages, investigates, and resolves claims.
  • Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
  • Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
  • 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 advises 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.
  • Responsible for managing the practices and billing activities of outside and in-house counsel.
  • May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
  • May be involved in special projects and/or mentoring at the direction of local management.

Requirements

  • Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
  • Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
  • A full working knowledge of claims operations and procedures is required.
  • Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills.
  • The capabilities, skills, and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience.
  • Ability to obtain proper licensing as required.

About Us

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.

Fair Chance Notices

California, San Francisco, Los Angeles, Philadelphia



  • Salt Lake, Utah, United States University of Utah Health Full time

    Job SummaryUniversity of Utah Health is seeking an Insurance Receivable Specialist II to join our team. This role is responsible for insurance receivables collections, denials resolution, and internal/external customer service.ResponsibilitiesPerform insurance follow-up and denial resolution on outstanding claims.Ensure timely and appropriate reimbursement...


  • Salt Lake City, United States Extra Space Storage Full time

    Extra Space Storage is a leading institutional self-storage company committed to providing exceptional storage solutions. We are seeking a dedicated and experienced Property Claims Specialist to join our dynamic team and play a key role in managing claims processes for our properties.As a Complex Property Claims Sr. Manager, you will play a pivotal role in...


  • Lake Mary, Florida, United States CNA Full time

    Job DescriptionKey Responsibilities:Manage a portfolio of complex claims, ensuring timely and adequate reserves by interpreting policy language and collaborating with coverage counsel.Provide exceptional customer service, interacting professionally with insureds, claimants, and business partners to achieve quality and cycle time standards.Conduct thorough...


  • Lake Oswego, Oregon, United States Liberty Mutual Insurance Full time

    Job SummaryThe Claims Specialist role at Liberty Mutual Insurance involves managing an assigned caseload of claims from investigation to resolution. This includes assessing liability and compensability, evaluating losses, and negotiating settlements with claimants, policyholders, and third-party vendors. The position requires strong analytical and...


  • Liberty, PA, United States DaVita, Inc. Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Revenue Specialist II, ROPS to join our team at DaVita, Inc. As a key member of our revenue cycle team, you will be responsible for identifying trends and performing root cause analysis on unpaid and underpaid claims. Your analytical and critical thinking skills will be essential in...

  • Claims Examiner

    1 month ago


    Lake Mary, Florida, United States Sedgwick Full time

    Claims Examiner Job DescriptionSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due. You will work with high-exposure claims involving litigation and rehabilitation, ensuring ongoing adjudication within service expectations...


  • Lake Elmo, United States Auto-Owners Insurance Full time

    A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of...


  • Lake Elmo, United States Auto-Owners Insurance Full time

    Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level...


  • Lake Mary, United States CNA Full time

    JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations,...


  • Lake Charles, Louisiana, United States JL4 Staffing Full time

    Job DescriptionAs a Senior Patient Account Specialist at JL4 Staffing, you will be responsible for the accurate and timely billing and collecting of physician services. This role requires strong communication skills to effectively convey ideas to market personnel, insurance carrier representatives, and patients.Responsibilities:Perform billing, A/R...


  • Salt Lake, Utah, United States Intermountain Health Full time

    Job SummaryAs a Pharmacy Benefit Specialist I, II at Intermountain Health, you will be responsible for the expeditious and accurate adjudication of pharmacy claims. You will provide excellent customer service to all members, employer groups, providers, and other departments or teams.Key ResponsibilitiesProcess and/or communicate multiple types of pharmacy...


  • Salt Lake, Utah, United States University of Utah Health Full time

    As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research, and education.University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality, and trust that are integral to our...


  • Lake Forest, California, United States Auto-Owners Insurance Full time

    A career at Auto-Owners Insurance is challenging and rewarding, offering a unique opportunity to create financial security for individuals and businesses.As a claims intern, you will investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability, and pay or deny losses.You will become familiar with insurance...


  • Lake Oswego, United States Liberty Mutual Insurance Full time

    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...


  • Lake Mary, United States CNA Full time

    JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize...


  • Lake Forest, California, United States Auto-Owners Insurance Full time

    A career at Auto-Owners Insurance is challenging and rewarding, offering a unique opportunity to create financial security for individuals and businesses.As a claims intern, you will investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability, and pay or deny losses.You will become familiar with insurance...

  • Claims Examiner

    3 months ago


    Lake Mary, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Lake Elmo, Minnesota, United States Auto-Owners Insurance Full time

    A career at Auto-Owners Insurance is challenging and rewarding, offering a unique chance to create financial security for individuals and businesses.As a claims intern, you will be part of a team that helps people make a new start after a loss occurs.The position requires you to:Investigate and assemble facts, determine policy coverage, evaluate the amount...


  • Lake Mary, United States The Hartford Full time

    APD Claims Representative - CH10INClaims Representative - CH09CNWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the...


  • Lake Mary, Florida, United States Frontline Insurance Full time

    Job SummaryFrontline Insurance is seeking a Commercial Claims General Adjuster / Supervisor to oversee claims handlers and manage large, complex claims. This role involves ensuring timely and effective claim resolution while fostering team development.Key Responsibilities:Claims Oversight: Assist the Director in overseeing claim handlers to ensure timely,...