Remote Workers' Compensation Claims Technician

Liberty Mutual Insurance; Liberty Lake (WA); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Liberty Mutual Insurance is seeking a Workers' Compensation Claims Technician to support our fast-growing claims team. You will collect essential information to process routine workers' compensation claims and provide ongoing medical management for medical pension claims, delivering accurate, timely information and quality service to injured workers and providers.

This role involves office visits twice a month for colleagues within 50 miles, with remote training and potential for full-time

Qualifications

• High school diploma plus 1-3 years' of related customer service experience or applicable insurance knowledge.
• Licensing required in some states.
• Analytical skills to learn and apply basic policy/contract coverage and explain decisions clearly.
• Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
• Good telephone and typing skills required.
• Ability to learn when to use medical management resources and follow through with information received.

Responsibilities

• Investigate to secure essential facts from injured worker, employer and providers regarding workers' compensation through telephone or written reports. Verifies information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment, and make evaluations for cases with claim specific on-going medical management.
• Provides on-going medical case management for assigned claims. Initiates calls to injured worker and medical provider if projected disability exceeds maximum triage model projection or to resolve medical treatment issues as needed. Maintains contact with injured worker, provider and employer to ensure understanding of protocols and claims processing and medical treatment.
• Continually assesses claim status to determine if problem cases or those exceeding protocols should be referred to Claims Service Team and/or would benefit from MP RN review or other medical/claims resources. Arranges Independent Medical Exam and Peer Review as necessary.
• Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes; documents results of contacts, relevant medical reports, and duration information per file posting standards including making appropriate medical information viewable to customers in EDM.
• Authorizes payment of medical payments and/or medical treatment.
• Recognizes potential subrogation cases, prepares cases for subrogation and refers these cases to the Subrogation Units.

Skills

Customer service

Insurance knowledge

Analytical skills

Written communication

Telephone skills

Medical management

Job description

Liberty Mutual Insurance is seeking a Workers' Compensation Claims Technician to support our fast-growing claims team. You will collect essential information to process routine workers' compensation claims and provide ongoing medical management for medical pension claims, delivering accurate, timely information and quality service to injured workers and providers.

This role involves office visits twice a month for colleagues within 50 miles, with remote training and potential for full-time