Workers Compensation Claims Specialist

4 weeks ago


BalaCynwyd, Pennsylvania, United States Liberty Mutual Insurance Full time
Job Summary

We are seeking a highly skilled Workers Compensation Claims Technician to join our team at Liberty Mutual Insurance. As a Workers Compensation Claims Technician, you will be responsible for processing routine workers' compensation claims with on-going medical management for medical pension claims.

Key Responsibilities
  • Conduct 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 on-going medical case management for assigned claims.
  • Maintain contact with injured workers, providers, and employers to ensure understanding of protocols and claims processing and medical treatment.
  • Continually assess claim status to determine if problem cases or those exceeding protocols should be referred to Claims Service Team and/or would benefit from MP RN review or other medical/claims resources.
  • Arrange Independent Medical Exams and Peer Reviews as necessary.
  • Maintain accurate records and handle administrative responsibilities associated with processing and payment of claims.
  • Recognize potential subrogation cases, prepare cases for subrogation, and refer these cases to the Subrogation Units.
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 required to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations.
  • Effective interpersonal skills to explain the facts and logic used to arrive at decisions in a way that the customer understands.
  • Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
  • 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 value your hard work, integrity, and commitment to making things better, and we put people first by offering you benefits that support your life and well-being.

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



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