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Workers Compensation Claims Technician, Medical Only

2 months ago

Rocklin, California, United States Liberty Mutual Insurance Full time

About the Role

Liberty Mutual Insurance is seeking a skilled Workers Compensation Claims Technician to join our team. As a key member of our claims team, you will be responsible for processing routine workers' compensation claims with ongoing medical management for medical pension claims.

Key Responsibilities

  • Conduct thorough investigations to secure essential facts from injured workers, employers, and providers regarding workers' compensation claims.
  • Verify information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment.
  • Provide ongoing medical case management for assigned claims, including initiating calls to injured workers and medical providers as needed.
  • Maintain accurate records and handle administrative responsibilities associated with processing and payment of claims.
  • Authorize payment of medical payments and/or medical treatment.
  • Recognize potential subrogation cases and prepare them for subrogation.

Requirements

  • High school diploma plus 1-3 years' of related customer service experience or applicable insurance knowledge.
  • Licensing required in some states.
  • Effective analytical skills to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations.
  • Effective interpersonal skills to explain facts and logic used to arrive at decisions.
  • Good telephone and typing skills required.

About Us

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. We provide an environment focused on openness, inclusion, trust, and respect. We aim to help turn your passion into a rewarding profession.