Senior Level Complex Case Manager Jobs
Senior level complex case manager jobs place experienced professionals in charge of coordinating high-acuity care, leading case management teams, and setting the clinical and operational standards others follow. Openings are concentrated across Healthcare & Medical Services, Education, and Insurance, with a mix of on-site, hybrid, and remote positions available, and employers like Sutter Health, Liberty Mutual Insurance, and Rutgers University hiring at this level now.
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Description
Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Claims Team. This is a high-visibility, hands-on role for an experienced Professional Liability claims handler with deep medical malpractice expertise. With minimal supervision, the Complex Claims Specialist will manage a book of specialty MMF Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high-exposure matters economically and defensibly.
Why this role matters
- Lead ownership of complex medical professional liability claims (e.g., ambulatory surgery centers, urgent care, behavioral health, home health, correctional medicine, clinical staffing).
- Opportunity to shape claim strategy on high-severity matters, coordinate clinical/expert resources, and act as an internal subject-matter resource for underwriting, reinsurance, and senior leadership.
- Work in a collaborative environment with autonomy to influence outcomes and policy.
Key Responsibilities
- Own and manage Professional Liability Claims from first notice through resolution: investigate, analyze coverage, evaluate liability and damages, establish and adjust reserves, negotiate settlements and close files within authority.
- Perform 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 within authority; escalate and recommend reserves for matters outside authority; review reserves regularly and justify reserve positions to management and auditors.
- Manage litigation: retain and oversee outside 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.
- Collaborate with underwriting, reinsurance and subrogation on allocation, ceded reporting and recovery opportunities.
- Identify and report claim trends, coverage exposures, and policy issues to management and underwriting; contribute to playbooks, training and process improvements.
- Participate in mediations and arbitrations within 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 reside within 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. We will consider a remote candidate if you do not live within 50-miles of one of these offices. This policy is subject to change.
We are open to fill this position depending on related professional skills and experience. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, the salary for both levels, and the overall cost of labor for that region. Please note your salary range may not fall at the top of the posted range, depending on your location.
Qualifications
- Bachelors' and/or advanced degree. J.D. is a plus!
- 7+ years claims/legal experience, with at least 2 years within a technical specialty preferred.
- Medical Malpractice claims experience strongly desired.
- Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues and product line knowledge.
- Functional knowledge of law and insurance regulations in various jurisdictions.
- Demonstrated advanced verbal and written communications skills.
- Demonstrated advanced analytical, decision making, and negotiation skills.
- Obtain and maintain Adjuster's license.
About us
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 progress as employees grow and develop within 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 thrive. We build an environment that welcomes a wide range 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 make a meaningful impact for our business, our customers, and the communities we serve.
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://www.libertymutualgroup.com/about-lm/careers/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.
Fair Chance Notices
- California
- Los Angeles Incorporated
- Los Angeles Unincorporated
- Philadelphia
- San Francisco
Description
Liberty Mutual has an immediate opening for a Complex Claims Specialist to join our Miscellaneous Medical Facilities Claims Team. This is a high-visibility, hands-on role for an experienced Professional Liability claims handler with deep medical malpractice expertise. With minimal supervision, the Complex Claims Specialist will manage a book of specialty MMF Professional Liability Claims through the entire lifecycle, applying advanced coverage interpretation, clinical issue spotting, complex litigation management and prudent reserving to resolve high-exposure matters economically and defensibly.
Why this role matters
- Lead ownership of complex medical professional liability claims (e.g., ambulatory surgery centers, urgent care, behavioral health, home health, correctional medicine, clinical staffing).
- Opportunity to shape claim strategy on high-severity matters, coordinate clinical/expert resources, and act as an internal subject-matter resource for underwriting, reinsurance, and senior leadership.
- Work in a collaborative environment with autonomy to influence outcomes and policy.
Key Responsibilities
- Own and manage Professional Liability Claims from first notice through resolution: investigate, analyze coverage, evaluate liability and damages, establish and adjust reserves, negotiate settlements and close files within authority.
- Perform 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 within authority; escalate and recommend reserves for matters outside authority; review reserves regularly and justify reserve positions to management and auditors.
- Manage litigation: retain and oversee outside 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.
- Collaborate with underwriting, reinsurance and subrogation on allocation, ceded reporting and recovery opportunities.
- Identify and report claim trends, coverage exposures, and policy issues to management and underwriting; contribute to playbooks, training and process improvements.
- Participate in mediations and arbitrations within 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 reside within 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. We will consider a remote candidate if you do not live within 50-miles of one of these offices. This policy is subject to change.
We are open to fill this position depending on related professional skills and experience. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, the salary for both levels, and the overall cost of labor for that region. Please note your salary range may not fall at the top of the posted range, depending on your location.
Qualifications
- Bachelors' and/or advanced degree. J.D. is a plus!
- 7+ years claims/legal experience, with at least 2 years within a technical specialty preferred.
- Medical Malpractice claims experience strongly desired.
- Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues and product line knowledge.
- Functional knowledge of law and insurance regulations in various jurisdictions.
- Demonstrated advanced verbal and written communications skills.
- Demonstrated advanced analytical, decision making, and negotiation skills.
- Obtain and maintain Adjuster's license.
About us
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 progress as employees grow and develop within 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 thrive. We build an environment that welcomes a wide range 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 make a meaningful impact for our business, our customers, and the communities we serve.
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://www.libertymutualgroup.com/about-lm/careers/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.
Fair Chance Notices
- California
- Los Angeles Incorporated
- Los Angeles Unincorporated
- Philadelphia
- San Francisco
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Senior Level Complex Case Manager Jobs: Frequently Asked Questions
How do I get a senior level complex case manager job?
Employers hiring at this level look for candidates who have independently managed high-complexity caseloads, made autonomous clinical decisions, and demonstrated measurable outcomes in utilization management or transitions of care. Highlighting experience leading case review committees, mentoring junior staff, or building care coordination protocols gives candidates a clear edge. Certifications like CCM, ACM, or RN licensure with case management focus strengthen your application significantly.
Which companies hire senior level complex case managers?
Companies hiring senior level complex case managers right now include Sutter Health, Liberty Mutual Insurance, and Rutgers University, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to concentrate among large health systems, managed care organizations, and national insurance carriers that require experienced professionals to oversee complex populations and drive clinical quality initiatives.
Are there remote senior level complex case manager jobs?
Yes, though availability varies by employer and caseload type. About 25% of senior level complex case manager openings are remote or hybrid as of November 2026, reflecting the telehealth and telephonic care coordination models that many payers and health plans have expanded. On-site roles remain common in acute care and hospital-based settings where in-person coordination is required.
What makes a complex case manager role senior level?
Senior level roles are defined by scope, ownership, and influence rather than task execution. A senior complex case manager owns outcomes for a high-acuity or high-volume population, exercises independent clinical judgment without routine supervision, and often mentors less experienced coordinators or sets departmental protocols. These roles frequently involve cross-functional collaboration with physicians, insurers, social workers, and leadership to drive systemic improvements in care delivery.
Which industries hire the most senior level complex case managers?
Senior Level complex case manager roles concentrate in Healthcare & Medical Services, Education, and Insurance, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they manage large, chronically ill, or high-cost patient populations where experienced case managers directly reduce unnecessary utilization and improve care transitions.