Senior Workers' Compensation Claims Specialist

Liberty Mutual Insurance; Lake Oswego (OR); Hybrid; USD 65,000 - 95,000; Full time

Job summary

Liberty Mutual Insurance seeks a dedicated Workers Compensation Claims Specialist to join the West Region Claims Team. You will review, analyze, and process moderately complex to complex claims, determine liability, and negotiate settlements for property casualty claims with bodily injury or property loss.

Depending on experience, roles include Specialist II or Senior Specialist I/II. Candidates must reside within 50 miles of Lake Oswego, OR, or Chandler, AZ, and will work onsite twice a month.

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-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

Investigations

Negotiation

Reserving

Claims analysis

Communication

Education

BS/BA degree or equivalent

Job description

Liberty Mutual Insurance seeks a dedicated Workers Compensation Claims Specialist to join the West Region Claims Team. You will review, analyze, and process moderately complex to complex claims, determine liability, and negotiate settlements for property casualty claims with bodily injury or property loss.

Depending on experience, roles include Specialist II or Senior Specialist I/II. Candidates must reside within 50 miles of Lake Oswego, OR, or Chandler, AZ, and will work onsite twice a month.