Experienced Workers Compensation Claims Specialist
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Advance your Claims Career at Liberty Mutual Insurance - A Fortune 100 Company!
Liberty Mutual Insurance has an excellent claims opportunity available for an experienced Workers Compensation Claims Specialist II or Senior Claims Specialist. The Claims Specialist II and Senior Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to mild to moderately complex Workers Compensation 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 injured workers, claimants, policyholders, medical providers, 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.
* While we are currently working remote, we ideally seek to fill with someone who can work in our Plano, TX, Tampa, FL or Charlotte, NC office when the time comes to return to the office a few days a week. We can consider someone that falls within the Southern Region footprint (such as Oklahoma, Georgia, Mississippi, North Carolina, South Carolina, Colorado, or Louisiana) for someone with Workers Compensation claims experience.
- Manages an inventory of claims to evaluate WC compensability.
- 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 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.
- Actively participate in Claim Reviews with clients, Roundtables, Arbitrations and Mediations, and may assist in conducting closed file reviews.
- Performs other duties as assigned.
- Bachelor's degree preferred, continuing insurance education desired.
- At least 3 years' experience handling Workers' Compensation claims.
- Thorough knowledge of insurance coverages, contracts & claims handling guidelines
- Multi-state experience preferred (FL, GA, NC, SC, AL, AR, AZ, CO, LA, MS, TX, OK, MS, UT, and NM).
- Experience with disputed and/or litigated claims.
- Ability to analyze written reports, such as medical records and legal documentation.
- Ability to communicate effectively with people from all backgrounds and uphold our high standard of customer service.
- Negotiation and settlement skills.
- Hard work, honesty, integrity and unwavering business ethics.
- Detail-oriented organizational skills in a multi-tasking environment.
- Success driven individual who has demonstrated success in a claims adjusting role.
- Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AIC or CPCU).
- Bilingual skills highly desired!