Workers' Comp Claims Specialist | Investigate & Settle

Liberty Mutual Insurance; Anchorage (AK); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

Liberty Mutual Insurance is seeking a Claims Specialist to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. You will decide liability/compensability, evaluate losses, and negotiate settlements, coordinating with claimants, policyholders, appraisers, attorneys, and other third parties.

The position includes training to enhance service quality and provide exceptional customer experiences while maintaining compliance and using advanced tools

Qualifications

• 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.

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 skills

Analytical abilities

Negotiation skills

Formation

Bachelor's degree or equivalent

Description du poste

Liberty Mutual Insurance is seeking a Claims Specialist to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. You will decide liability/compensability, evaluate losses, and negotiate settlements, coordinating with claimants, policyholders, appraisers, attorneys, and other third parties.

The position includes training to enhance service quality and provide exceptional customer experiences while maintaining compliance and using advanced tools