Liberty Mutual

Senior Claims Specialist, HMO & PEI Claims

Liberty Mutual • $80K — $95K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; advanced degree preferred
  • 5+ years of experience in claims handling, legal, or a related field
  • Strong knowledge of claims handling concepts, practices, and techniques
  • Solid understanding of insurance law across multiple jurisdictions
  • Excellent verbal and written communication skills
  • Strong negotiation skills for effective claims resolution

Responsibilities

  • Analyzes and evaluates losses for coverage determination
  • Documents claims and sets follow-up diaries using CMS
  • Establishes and reviews indemnity and expense reserves
  • Prepares comprehensive claim reports as needed
  • Identifies and communicates emerging claims trends
  • Manages the litigation process, including case resolution
  • Participates in the claims audit process

Benefits

  • Engagement with brokers and risk managers to support claims marketing
  • Maintains required insurance adjuster licenses
  • Opportunities for advanced degree support
  • Flexible work arrangement with office visit requirements for local candidates
Full Job Description
Description

Working under moderate direction, this role manages a book of specialty lines claims across the full claim lifecycle — from initial investigation through settlement and closure. The Claims Specialist conducts thorough investigations, recommends appropriate reserves, and resolves claims efficiently and cost-effectively within established authority limits for the line of business.

 

Responsibilities:

  • Analyzes, investigates, and evaluates losses to determine coverage and appropriate claim disposition
  • Documents claims and sets diaries for follow-up and key events using CMS
  • Establishes appropriate indemnity and expense reserves within assigned settlement authority, reviewing regularly to ensure adequacy; recommends reserve levels for claims exceeding authority
  • Prepares comprehensive claim reports as required
  • Identifies emerging claim trends and account or policy issues, communicating findings to management and underwriting
  • Manages the litigation process, including retaining counsel and overseeing case resolution
  • Ensures adherence to line-of-business litigation guidelines, including budget management, bill review, and payment
  • Actively participates in mediations and arbitrations within assigned settlement authority
  • Participates in the claims audit process
  • May support claims marketing efforts by engaging with brokers, risk managers, and reinsurers
  • Maintains required insurance adjuster licenses

 

If the selected candidate lives within 50 miles of a GRS office, then the selected candidate must come into the office two days/month.

Qualifications

Qualifications:

  • Bachelor's degree required; advanced degree preferred
  • 5+ years of experience in claims handling, legal, or a related field
  • Strong working knowledge of claims handling concepts, practices, and techniques, including coverage issues and product line expertise
  • Solid understanding of insurance law and regulations across multiple jurisdictions
  • Excellent verbal and written communication skills
  • Strong negotiation skills, with the ability to resolve claims effectively within authority limits

 

Preferred Qualifications:

  • Experience handling HMO and Provider Excess Claims

About Liberty Mutual

Since 1912, Liberty Mutual Insurance have committed theirselves to providing broad, useful and competitively-priced insurance products and services to meet their customers' ever-changing needs. Their delivery on this commitment is the reason they're now the third largest property and casualty insurer in the U.S. based on 2012 direct premium written according to the National Association of Insurance Commissioners.

Liberty Mutual Careers

Join the vibrant team at Liberty Mutual, a leading global insurance company, where your career is in your hands. At Liberty Mutual, we are committed to fostering an inclusive culture that values diversity and innovation. With a variety of job opportunities across multiple fields, this is where your professional journey can truly flourish.

Work You’ll Do

At Liberty Mutual, you’ll be part of a team that’s dedicated to empowering people to live safer, more secure lives. Whether you’re interested in a position in claims handling, underwriting, or customer service, you’ll find a platform here to enhance your skills and push the boundaries of what you can achieve.

Explore Our Job Opportunities

Liberty Mutual offers a range of career paths for both seasoned professionals and those just starting out. Our internship programs provide invaluable hands-on experience, helping to bridge the gap between education and full-time employment. For those seeking to grow their career, we offer positions that challenge and inspire, backed by benefits that support both professional and personal growth.

Innovate with Us

Innovation is at the heart of Liberty Mutual. We encourage our team to bring fresh ideas that drive industry leadership and improve customer experiences. By joining our team, you’ll collaborate with talented professionals who are keen on developing solutions that lead the market.

Develop Your Career

Liberty Mutual is deeply invested in the professional development of its employees. With comprehensive diversity training and leadership programs, we prepare you to take on leadership roles within the company. Networking opportunities within the company can lead to mentorship and further career advancement.

Benefits of Joining Liberty Mutual

Working at Liberty Mutual comes with numerous benefits. From competitive salaries to health and wellness programs, we ensure our team members are well taken care of. More than just a job, a position at Liberty Mutual is a stepping stone to a fulfilling career.

Join Our Team

Ready to take the next step in your career? Explore the job opportunities at Liberty Mutual. We are actively hiring and looking for individuals who are passionate, curious, and ready to drive change. Enhance your resume, prepare for your interview, and become part of a company that values your unique skills and vision.

Stay Connected

Keep up to date with the latest from Liberty Mutual Careers by subscribing to our job alert emails. Tailor your subscription to match your career preferences and get insights into new postings and career tips directly from our team.

Liberty Mutual: A Place to Grow, Innovate, and Lead

Discover how you can make a difference. Visit our careers page to find the position that’s right for you and join a team that’s committed to growth, leadership, and innovation. At Liberty Mutual, your career is what you make it.
Learn more about Liberty Mutual
Size
45,000 employees
Industry
Founded
1912

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