Claims Specialist, Workers' Compensation & Settlements

Liberty Mutual Fire Insurance Co.; Rocklin (CA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Liberty Mutual Fire Insurance Co. in California seeks a Claims Specialist to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. You will decide liability/compensability, evaluate losses, and negotiate settlements while interfacing with claimants, policyholders, attorneys, and other third parties.

Training is provided to enhance service excellence. The role emphasizes collaboration, accuracy, and adherence to regulatory and company

Qualifications

• Proven interpersonal, analytical and negotiation abilities required.
• 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.
• Assess 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.

Skills

Interpersonal

Analytical

Negotiation

Education

Bachelor's degree or equivalent

Job description

Liberty Mutual Fire Insurance Co. in California seeks a Claims Specialist to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. You will decide liability/compensability, evaluate losses, and negotiate settlements while interfacing with claimants, policyholders, attorneys, and other third parties.

Training is provided to enhance service excellence. The role emphasizes collaboration, accuracy, and adherence to regulatory and company