Technical Claims Specialist, Workers Compensation

Liberty Mutual Insurance; Portsmouth (NH); Remote; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Liberty Mutual Insurance is seeking a Technical Claims Specialist I/II, Workers' Compensation, to handle complex, high-exposure cases under limited supervision. This role supports hybrid work with in-person collaboration and remote tasks in the Northeast region.

You will investigate, evaluate, and dispose of complex workers compensation claims, apply medical management strategies, track trends, and coordinate with counsel to manage litigation while maintaining reserves and reporting metrics.

Qualifikationen

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

Aufgaben

• Investigates claims to determine coverage, compensability, and exposure.
• Resolves claims within authority; advises on case value and resolution strategy.
• Participates in pricing, reserving, and strategy discussions with management.
• Works with defense counsel to manage litigated files per protocols.
• Identifies and handles suspicious claims and third-party subrogation potential.
• Establishes and maintains accurate reserves on all files.
• Prepares for and attends mediation or settlement conferences; negotiates on behalf of insureds.
• Understands new exposures and coverages; analyzes key claim data elements.
• Communicates with policyholders on coverage and resolution strategy issues.
• Coordinates training for less experienced staff, including Complex Non-Complex staff.

Kenntnisse

Claims handling

Analytical thinking

Ausbildung

Bachelor's degree or equivalent

Tools

Excel

PowerPoint

Jobbeschreibung

Description

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth. This approach optimizes both remote and in-person interactions, enabling you to connect and ideate with your team and deepen valuable relationships across the company, while still enjoying the flexibility of remote work for focused tasks and projects.

Under limited supervision and established practices, the Technical Claims Specialist is responsible for the investigation, evaluation, and disposition of complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics.

Description

At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth. This approach optimizes both remote and in-person interactions, enabling you to connect and ideate with your team and deepen valuable relationships across the company, while still enjoying the flexibility of remote work for focused tasks and projects.

Under limited supervision and established practices, the Technical Claims Specialist is responsible for the investigation, evaluation, and disposition of complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics.

This role is remote within the Northeast region. Candidates must reside in Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. Candidates residing within 50 miles of our Weatogue, CT office, will be expected to work onsite up to two days per month. On-site expectations may evolve based on business needs.

• This position may be filled as a Technical Claims Specialist I, Workers Compensation or Technical Claims Specialist II, Workers Compensation. Title and pay commensurate with experience.

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 (Self-Insured Fund) and MSA (Medicare Set Aside) 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.

Qualifications

• A Bachelors degree or equivalent business experience is required
• In addition, the candidate will generally possess 3-5 years of related claims experience
• Proficient in use of Excel and PowerPoint
• Effective written and verbal communication skills required

About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.

At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.

We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits

Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.

Fair Chance Notices

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