Complex Technical Claims Specialist II

2 months ago

Lake Oswego, United States Liberty Mutual Insurance Full time
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.


Description

Under limited supervision and established practices, 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 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.

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 and MSA 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
  • The candidate will generally posses 5-7 years of related workers compensation claims experience with 1-2 years of experience in complex claims
  • Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skill required
About Us

**This position may have in-office requirements depending on candidate location.**

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. Thats why we provide an environment focused on openness, inclusion, trust and respect. Here, youll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.

Liberty Mutual has proudly been recognized as a Great Place to Work by Great Place to Work US for the past several years. We were also selected as one of the 100 Best Places to Work in IT onIDGs Insider Pro and Computerworlds 2020 list. For many years running, we have been named by Forbes as one of Americas Best Employers for Women and one of Americas Best Employers for New Graduatesas well as one of Americas Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit:

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

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

Fair Chance Notices

  • California
  • San Francisco
  • Los Angeles
  • Philadelphia

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