Workers' Comp Claims Adjuster I - Investigate & Settle

Liberty Mutual Insurance; San Diego (CA); Sur place; USD 58 000 - 90 000; Plein temps

Résumé du poste

Liberty Mutual Insurance is seeking a Claims Specialist to manage a caseload of routine to moderately complex claims from investigation through resolution. You will assess liability, evaluate losses, and negotiate settlements with claimants, policyholders, and attorneys.

The role includes training to enhance skills and deliver exceptional service to customers, with emphasis on collaboration, regulatory awareness, and professional development.

Qualifications

• Proven interpersonal, analytical and negotiation abilities required.
• Ability to communicate clearly and build effective relationships.
• Bachelor's degree or equivalent plus 1 year of claims handling; licensing may be required.

Responsabilités

• Manages an inventory of claims to evaluate compensability/liability.
• Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
• Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
• Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
• Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
• Performs other duties as assigned.

Connaissances

Interpersonal abilities

Analytical abilities

Negotiation

Formation

Bachelor's degree or equivalent +1 year claims handling

Description du poste

Liberty Mutual Insurance is seeking a Claims Specialist to manage a caseload of routine to moderately complex claims from investigation through resolution. You will assess liability, evaluate losses, and negotiate settlements with claimants, policyholders, and attorneys.

The role includes training to enhance skills and deliver exceptional service to customers, with emphasis on collaboration, regulatory awareness, and professional development.