Claims Specialist

Liberty Mutual Insurance; Sacramento (CA); On-site; USD 74,000 - 139,000; Full time

Job summary

Liberty Mutual Insurance seeks a Senior Workers Compensation Claims Specialist II in Sacramento, CA. The role involves managing complex claims, making liability decisions, and mentoring team members. Candidates must have at least 2 years of experience in claims handling, with a strong focus on negotiation and leadership skills.

Qualifications

• 2 years experience in Workers' Compensation claims handling.
• Expert knowledge of claims handling practices and legal liability.
• Licensing required in some states.

Responsibilities

• Conducts investigations of claims and makes decisions on liability.
• Negotiates settlements of claims within authority limits.
• Mentors and trains new team members.

Skills

Interpersonal Skills

Negotiation Skills

Leadership

Time Management

Claims Case Handling Knowledge

Education

Bachelor's degree or equivalent training

Job description

Salary Range : USD $74000.00 - $139000.00

Job Category : Claims

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

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist II within the West Region!

As a Senior Workers Compensation Claims Specialist II, you will work within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability / compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property / casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.

Depending on your overall skills and experience, you may be considered as a Claims Specialist II, Senior Claims Specialist I, or Senior Claims Specialist II. The salary range posted reflects the varying pay scale across various locations.

Candidates must reside within 50 miles of Lake Oswego, OR; Chandler, AZ; and will be required to work onsite twice a month. Candidates residing in CA will be considered in all locations and may be eligible for 100% remote work. Please note that this policy is subject to change.

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.

To be considered for the role, candidates should possess the following :

• 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.

Qualifications

• 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.

About Us

As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.

At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.

We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.

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.

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.

• California
• Philadelphia

Employment Type : Full Time

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