Apply on Employer Site

Liberty Mutual Insurance · 18 hours ago

Technical Claims Specialist, Workers Compensation - West Region

US-CA-Los Angeles

Full-time

Hybrid

Mid, Senior Level

$75K/yr - $140K/yr

5+ years exp

Liberty Mutual Insurance is a leading provider of insurance solutions, and they are seeking a Technical Claims Specialist for the Workers Compensation sector. This role involves investigating, evaluating, and managing complex Workers Compensation claims, applying established medical management strategies, and collaborating with various stakeholders to resolve claims effectively.

FinanceFinancial ServicesInsurance

Responsibilities

Investigates claims to determine whether coverage is provided, establish compensability and verify exposure

Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority

Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management

Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols

Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely

Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure

Establishes and maintains accurate reserves on all assigned files

Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority

Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds

Demonstrates the ability to understand new and unique exposures and coverages

Demonstrates the ability to understand key data elements and claims related data analysis

Confers directly with policyholders on coverage and resolution strategy issues

Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff

Qualification

Workers CompensationClaims HandlingData AnalysisExcelPowerPointTraining CoordinationCommunication Skills

Required

A bachelor's degree or equivalent business experience is required

5-7 years of related claims experience with 1-2 years of experience in complex claims

Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required

Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims