Remote Workers' Compensation Claims Technician

Liberty Mutual Insurance; Rocklin (CA); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Liberty Mutual Insurance seeks a Workers' Compensation Claims Technician to process routine claims with ongoing medical management, providing injured workers and customers with accurate, timely information and quality service.

Responsibilities include investigating to secure essential facts, managing medical cases, authorizing payments, and maintaining records. The role may involve remote training, with occasional in-office visits as needed.

Qualifications

• High school diploma plus 1-3 years' customer service experience.
• Licensing required in some states.
• Effective analytical skills to learn policy/contract coverage and explain decisions clearly.
• Effective written skills to produce clear, concise descriptions.
• Good telephone and typing skills are required.

Responsibilities

• Conduct investigation to secure essential facts from injured worker, employer and providers regarding workers' compensation, verifying information and evaluating medical treatment.
• Provides on-going medical case management and initiates calls when needed to resolve issues.
• Assess status and refer complex cases to Claims Service Team or medical resources; arrange IME/peer review as needed.
• Maintain accurate records and process payments; update status notes and generate required letters.
• Authorize medical payments and treatment when appropriate.
• Identify potential subrogation cases and refer to Subrogation Units.

Skills

Customer service

Analytical skills

Written communication

Telephone skills

Typing

Medical management knowledge

Education

High school diploma

Job description

Liberty Mutual Insurance seeks a Workers' Compensation Claims Technician to process routine claims with ongoing medical management, providing injured workers and customers with accurate, timely information and quality service.

Responsibilities include investigating to secure essential facts, managing medical cases, authorizing payments, and maintaining records. The role may involve remote training, with occasional in-office visits as needed.