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Liberty Mutual Insurance · 1 week ago

Claims Specialist, Workers Compensation - West Region

Chandler, AZ

Full-time

Hybrid

Mid, Senior Level

$61K/yr - $113K/yr

2+ years exp

Liberty Mutual Insurance is a fast-growing company offering a position for a Workers Compensation Claims Specialist. The role involves reviewing, analyzing, and processing moderately complex to complex claims, making decisions about liability, and negotiating settlements while assisting the Claims Team Manager.

FinanceFinancial ServicesInsurance

Responsibilities

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages

Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners

Refers to claim to subrogation group or Special Investigations Unit as appropriate

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

Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims

Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company

Acts as senior technical professional on team, assisting team members with escalated issues

Mentors and trains new team members

Participates in Quality Review process

Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews

Performs other duties as assigned

Qualification

Workers' Compensation claimsClaims adjustment experienceClaims investigation techniquesMedical terminologyLegal aspects of claimsIndustry certificationsBS/BA degreeMentoring skillsNegotiation skills

Required

Minimum of 2 years of experience in Workers' Compensation claims handling lost time and litigated claims. Direct claims handling experience from investigation through resolution is required

BS/BA degree or equivalent work experience

Minimum of 2 years experience in claims adjustment, general insurance or formal claims training

Required to obtain and maintain all applicable licenses

Knowledge of claims investigation techniques, medical terminology and legal aspects of claims