Claims Quality Specialist II

Under moderate or limited direction, may review and analyze USRM Small Commercial Casualty claims to determine alignment with claims handling standards. Assists, participates, and leads internal and external calibration events, analysis of results and insights, development of QI reporting, and presentation of findings to Field leaders and stakeholders. Participates in and/or facilitates operational problem-solving events and provides support for the implementation of improvements.

*This 2 year Quality Improvement Rotational Program (QIRP) has been designed to help you deepen your Claims technical and quality expertise and help you build additional capabilities that will prepare you for your next role at Liberty Mutual. 

*This is a lateral position eligible for grades 13-14.

*Small Commercial Casualty experience is preferred.

*Candidates who reside within 50 miles of a claims office will be required to go into the office at least two times a month.

Responsibilities

• Assesses quality and/or regulatory compliance issues through regular claim file reviews and is part of the team responsible for providing quality review services to Small Commercial (SC) Casualty Claims. Assists in ensuring risks/exposures are accurately identified, proper controls implemented, and compliance monitored.
• Ensures review insights are completed timely, tracked, and distributed to the appropriate SC Claims management and other involved parties.
• Participates in and facilitates diagnostic events to assist Small Commercial Claims zones in assessing quality within their field organizations.
• Provides appropriate QI and SC Casualty Claims management with meaningful insights for all review reports, opportunities, and other review issues as appropriate.
• Participates in calibration sessions both within the QI team and with the SC Casualty Claims organization.