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Liberty Mutual Insurance · 2 days ago

Senior Claims Specialist - Worker's Compensation (Maryland based)

United States

Full-time

Remote

Mid, Senior Level

$75K/yr - $129K/yr

4+ years exp

Liberty Mutual Insurance is seeking a Senior Claims Specialist to work within a Claims Team. The role involves reviewing, analyzing, and processing moderately complex to complex claims, making decisions about liability and compensability, and negotiating settlements.

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 CompensationClaims Case HandlingLegal Liability KnowledgeNegotiation SkillsLeadership AbilityInterpersonal SkillsTime Management

Required

Workers compensation experience should be residing in Maryland

Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required

Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively

Demonstrates an expert level knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state's tort laws as normally acquired through a bachelor's degree or equivalent training plus 4 to 6 years directly related work experience (at least two of which should ordinarily be in a team leader capacity)

Licensing required in some states