Workers Compensation Claims Specialist II

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.

Description

The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution.

This includes making decisions about liability / compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process.

The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.

Responsibilities :

• Manages an inventory of claims to evaluate compensability / liability.
• Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
• Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
• Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
• Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
• Performs other duties as assigned.

Qualifications

• Effective interpersonal, analytical and negotiation abilities required
• Ability to provide information in a clear, concise manner with an appropriate level of detail
• Demonstrated ability to build and maintain effective relationships
• Demonstrated success in a professional environment; success in a customer service / retail environment preferred
• Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
• Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
• Licensing may be required in some states

About Us

This position may have in-office requirements depending on candidate location.

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.

Fair Chance Notices

• California
• San Francisco
• Los Angeles
• Philadelphia
20 days ago