Senior Workers' Comp Claims Specialist — Investigations & Settlements

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

Job summary

Liberty Mutual Insurance is seeking a dedicated Workers' Compensation Claims Specialist to join our fast-growing Claims Team in the West Region. You will review, analyze, and process moderately complex to complex claims, determine liability and compensability, evaluate losses, negotiate settlements, and manage related property/casualty claims.

Depending on experience, you may be considered for Claims Specialist II or Senior Claims Specialist I or II.

Qualifications

• Minimum of 2 years’ experience in workers’ compensation claims handling, including lost-time and litigated claims.
• Direct claims-handling experience from investigation through resolution.
• 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

• Plan and conduct investigations of claims, including interviewing insureds, witnesses, and claimants, collecting documentation, and securing evidence.
• Determine need for, and engage independent adjusters, cause‑and‑origin experts, and independent medical examiners.
• Refer claims to subrogation group or Special Investigations Unit as appropriate.
• Assess policy coverage, notify insureds of issues, determine and establish reserve requirements, and adjust reserves during claim processing.
• Assess actual damages, conduct negotiations within authority limits, and settle claims.
• Coordinate litigation activities for assigned claims, ensuring timely and cost‑effective resolution; attend trials as a company representative.
• Act as senior technical professional on the team, assisting with escalated issues.
• Mentor and train new team members.
• Participate in Quality Review processes.
• Participate in Suit Committees, Roundtables, Arbitrations, Mediations, field investigations, and closed file reviews.
• Perform other duties as assigned.

Skills

Claims handling

Investigation

Negotiation

Education

BS/BA degree or equivalent work experience

Continuing education courses leading to industry certifications preferred (AEI, IIA, CPCU)

Job description

Liberty Mutual Insurance is seeking a dedicated Workers' Compensation Claims Specialist to join our fast-growing Claims Team in the West Region. You will review, analyze, and process moderately complex to complex claims, determine liability and compensability, evaluate losses, negotiate settlements, and manage related property/casualty claims.

Depending on experience, you may be considered for Claims Specialist II or Senior Claims Specialist I or II.