Associate Claims Adjuster, Workers Compensation

Liberty Mutual•Plano, TX

6d•Hybrid

About The Position

The Workers Compensation Claims Specialist works on a claims team under direct supervision and develops the knowledge and skills needed to investigate claims, make liability and compensability decisions, evaluate losses, negotiate settlements, and manage a commercial property/casualty and disability claims inventory. The role includes a comprehensive training program, one-on-one mentoring, and on-the-job training, and assists with service for policyholders and customers on mid-sized and/or large commercial accounts. The employer may fill the position at the Associate Claims Specialist I, Claims Specialist I, or Claims Specialist II level depending on the candidate’s experience. Candidates must reside in one of the listed states: Alabama, Arkansas, Delaware, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, South Carolina, Oklahoma, Tennessee, Texas, Virginia, West Virginia, Arizona, or New Mexico. Those who live within 50 miles of the Plano, Texas; Suwanee, Georgia; or Chandler, Arizona offices are expected to work onsite for up to two days per month, subject to change based on business needs. Training attendance and active engagement are mandatory, and training requires one week of travel to the Plano, Texas office in January.

Requirements

Effective interpersonal, analytical, and negotiation abilities.
Ability to communicate information clearly and concisely with an appropriate level of detail.
Demonstrated ability to build and maintain effective relationships.
Demonstrated success in a professional environment.
Effective analytical skills to gather information, analyze facts, and draw conclusions, normally acquired through a bachelor’s degree or equivalent.
Must reside in one of the listed eligible states.
Reliable attendance and active engagement during training; training includes one week of travel to Plano, Texas in January.

Nice To Haves

Success in a customer service or retail environment.
Knowledge of legal liability, insurance coverage, and medical terminology.

Responsibilities

Investigate new claims by reviewing initial reports and supporting materials, identifying appropriate contacts to gather information, referring tasks to auxiliary units as needed, and updating claim files.
Establish action plans based on case facts, best practices, protocols, jurisdictional issues, and available resources.
Manage a workers’ compensation claims inventory, evaluate compensability, liability, and losses, and negotiate settlements within prescribed limits.
Establish accurate loss cost estimates using available resources, special service instructions, and market protocols.
Confirm or deny coverage based on investigation findings and advise policyholders on appropriate courses of action.
Review, analyze, and resolve assigned claims within authority limits and in compliance with state requirements.
Update claim files, develop strategies, and execute plans to mitigate exposure and increase claim disposal.