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Medical Billing Clerk

Company: Liberty Mutual Insurance
Location: Rocklin
Posted on: January 9, 2022

Job Description:

Advance your career at Liberty Mutual - A Fortune 100 Company! The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to mild to moderately complex Workers Compensation claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with injured workers, claimants, policyholders, medical providers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. *This is a range posting, and we may fill as an Associate Claims Specialist, Claims Specialist I, Claims Specialist II, or Senior Claims Specialist I, depending on candidate experience. The salary range is reflective of this. We are looking to fill the positions in Rocklin, CA, Phoenix, AZ or Portland, OR. Responsibilities:

  • 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.Qualifications:
    • Bachelor's Degree or equivalent
    • 1-5 years' experience in claims adjusting along with knowledge of claims investigation techniques, legal liability, insurance coverage, negotiation skills and medical terminology
    • Effective written and verbal communication skills to provide information in a clear and concise manner and to communicate with a variety of individuals
    • Effective analytical skills to gather information, analyze facts and make recommendations based upon information collected
    • Required to obtain and maintain all applicable licenses. Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).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. 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, please visit https://www.libertymutualgroup.com/about-lm/careers/benefitsLiberty 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.We have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduatesas well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: https://jobs.libertymutualgroup.com/diversity-inclusionLiberty 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.
      Bachelor's Degree
      12

Keywords: Liberty Mutual Insurance, Rocklin , Medical Billing Clerk, Other , Rocklin, California

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