Claims Resolution Spec, Apd

Description

**THIS POSITION IS A HYBRID ROLE AND REQUIRES INDIVIDUALS TO BE WITHIN A 50 MILE RADIUS TO THE OFFICE AS YOU WILL BE REQUIRED TO COMMUTE**

Under moderate supervision, responsible for obtaining and maintaining essential information in order to handle liability no injury auto claims. Responsible for investigating, evaluating, negotiating and settling personal lines claims. Completes review of policy, accident details and determines coverage and damages owed. Handles the most complex auto liability no injury claims including but not limited to coverage issues, multiple car accidents (4+), specialty vehicles, service issues, high profile claims and litigation. May assist with the training, onboarding, and mentoring of new hires.

Responsibilities

• Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims. Responds to various written and telephone inquiries including status reports.
• Negotiates coverage and liability decisions with insured, claimant, claimant carrier.
• Reports coverage denials to manager.
• Special assignments or projects as assigned.
• Evaluates loss details for additional parties to be notified or involved in the claim, such as Total Loss, PIP/Med Pay, Subro, Rental, SIU, Legal. Split the file as needed
• Manages claims handling and resolves the most complex claims including but not limited to coverage issues, multiple car accidents (4+), specialty vehicles, service issues, high profile claims and litigation. Evaluates liability, coverage and settles claims within prescribed procedures and authority.
• Delivers formal training to assigned client groups (predominately new hires). Formal training is typically delivered one-on-one. 1
• Ensures payments processed as needed, or releases payment once liability decided.
• In larger claims locations where significant hiring occurs, in addition to complex claims handling, role will also be responsible for the following: 1
• Requires frequent coverage research and analysis resulting in final coverage decision.

Qualifications

• Licensing as required
• Excellent oral, written and interpersonal communication skills, and the capacity to multi-task in a structured work environment, are required
• Customer Service experience preferred
• Associates degree or equivalent training plus generally two or more year's auto non-injury claims handling experience
• General knowledge of contract language, including regulatory and policy differences, legal liability and general insurance policy coverage

About Us

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.

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