Claims Specialist, Workers' Comp: Investigate & Settle

Liberty Mutual Insurance; Orange (CA); On-site; USD 60,000 - 90,000; Full time

Job summary

Liberty Mutual Insurance is seeking a Claims Specialist in California to manage a caseload from investigation through resolution. You will determine liability and compensability, assess losses, negotiate settlements, and coordinate with claimants, policyholders, appraisers, attorneys and other third parties.

The role emphasizes training to enhance skills for exceptional service, with opportunities to develop within a large national insurer and support for ongoing professional growth and

Qualifications

• Bachelor's degree or equivalent in addition to 1-year claims handling experience.
• Knowledge of legal liability, insurance coverage and medical terminology preferred.
• Licensing may be required in some states.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• 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 liability, 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.
• Performs other duties as assigned.

Job description

Liberty Mutual Insurance is seeking a Claims Specialist in California to manage a caseload from investigation through resolution. You will determine liability and compensability, assess losses, negotiate settlements, and coordinate with claimants, policyholders, appraisers, attorneys and other third parties.

The role emphasizes training to enhance skills for exceptional service, with opportunities to develop within a large national insurer and support for ongoing professional growth and