Hybrid Claims Specialist: Investigations & Settlements

Liberty Mutual Insurance; Suwanee (GA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Liberty Mutual Insurance is seeking a Claims Specialist to manage a caseload of routine to moderately complex claims from investigation through resolution. The role involves liability/compensability decisions, loss evaluation, and settlement negotiations, with training to enhance customer service excellence.

The position is hybrid, requiring in-office presence within 50 miles of select offices twice monthly, and requires at least 2 years of claims experience including bodily injury and

Qualifications

• BS/BA degree or equivalent work experience.
• Minimum of 2 years experience in claims adjustment, general insurance or formal claims training.
• Required to obtain and maintain all applicable licenses.
• Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).
• Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.

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.
• Experience with bodily injury and commercial claims required.

Skills

claims adjustment

negotiation

claims investigation techniques

medical terminology

legal aspects of claims

Education

BS/BA degree or equivalent work experience

Job description

Liberty Mutual Insurance is seeking a Claims Specialist to manage a caseload of routine to moderately complex claims from investigation through resolution. The role involves liability/compensability decisions, loss evaluation, and settlement negotiations, with training to enhance customer service excellence.

The position is hybrid, requiring in-office presence within 50 miles of select offices twice monthly, and requires at least 2 years of claims experience including bodily injury and