Workers' Comp Claims Specialist I — Investigation & Negotiation

Liberty Mutual Insurance; East Honolulu (HI); Vor Ort; USD 60.000 - 85.000; Vollzeit

Zusammenfassung

Liberty Mutual Insurance in the United States, Hawaii (East Honolulu) is seeking a Claims Specialist to manage an assigned caseload from investigation through resolution, making decisions on liability and compensability, evaluating losses, and negotiating settlements.

You'll interact with claimants, policyholders, appraisers, attorneys, and other third parties, receive training to enhance customer service, and grow within a diverse, inclusive workplace.

Qualifikationen

• Proven interpersonal, analytical and negotiation abilities required.
• Ability to provide information in a clear, concise manner, ability to build effective relationships.
• Bachelor`s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred.
• Licensing may be required in some states.

Aufgaben

• 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.

Kenntnisse

Interpersonal skills

Analytical abilities

Negotiation skills

Ausbildung

Bachelor's degree or equivalent

1 year claims handling experience

Jobbeschreibung

Liberty Mutual Insurance in the United States, Hawaii (East Honolulu) is seeking a Claims Specialist to manage an assigned caseload from investigation through resolution, making decisions on liability and compensability, evaluating losses, and negotiating settlements.

You'll interact with claimants, policyholders, appraisers, attorneys, and other third parties, receive training to enhance customer service, and grow within a diverse, inclusive workplace.