Hybrid: Technical Claims Specialist - Workers' Compensation

Liberty Mutual Insurance; United States; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Liberty Mutual Insurance is hiring a Technical Claims Specialist in a hybrid, Northeast-focused role. The position handles investigation, evaluation, and disposition of high-exposure Workers’ Compensation claims, applying medical management and advanced claims techniques.

Expect collaboration with HO Examining teams, managing reserves and mediations, and frequent data analysis to drive outcomes. The role requires a Bachelor's degree (or equivalent) and 3–5 years of related claims experience,

Qualifications

• Bachelor's degree or equivalent business experience is required.
• 3-5 years of related claims experience.
• Proficient in use of Excel and PowerPoint.
• Effective written and verbal communication skills required.

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 and MSA 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.

Skills

Excel

PowerPoint

Communication

Claims experience

Education

Bachelor's degree or equivalent

Job description

Liberty Mutual Insurance is hiring a Technical Claims Specialist in a hybrid, Northeast-focused role. The position handles investigation, evaluation, and disposition of high-exposure Workers’ Compensation claims, applying medical management and advanced claims techniques.

Expect collaboration with HO Examining teams, managing reserves and mediations, and frequent data analysis to drive outcomes. The role requires a Bachelor's degree (or equivalent) and 3–5 years of related claims experience,