Complex: Technical Claims Specialist - Worker's Compensation
Company: Liberty Mutual Insurance
Posted on: November 22, 2021
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.
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
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
Demonstrates the ability to understand key data elements and claims
related data analysis.
Confers directly with policyholders on coverage and resolution
Coordinates and participates in training sessions for less
experienced staff, including both Complex non-Complex staff.
A Bachelors degree or equivalent business experience is
In addition, the candidate will generally posses 5-7 years of
related claims experience with 1-2 years of experience in complex
Demonstrated proficiency in Excel, PowerPoint as well as excellent
written and verbal communication skill required.
At Liberty Mutual, our purpose is to help people embrace today and
confidently pursue tomorrow. That's why we provide an environment
focused on openness, inclusion, trust and respect. Here, you'll
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" on
IDG's Insider Pro and Computerworld's 2020 list. For many years
running, we have been named by Forbes as one of America's Best
Employers for Women and one of America's Best Employers for New
Graduates-as well as one of America's Best Employers for Diversity.
To learn more about our commitment to diversity and inclusion
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 visit: https://LMI.co/Benefits
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.
Keywords: Liberty Mutual Insurance, Rocklin , Complex: Technical Claims Specialist - Worker's Compensation, IT / Software / Systems , Rocklin, California
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