Claims Adjuster I, Workers' Compensation

Liberty Mutual Insurance•Lake Oswego, OR

1d•$57,000 - $101,000

About The Position

The Claims Specialist works within a Claims Team, using technology to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. The work includes making liability and compensability decisions, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims process. Training is provided with an emphasis on developing the skills needed to deliver exceptional customer service.

Requirements

Bachelor's degree or equivalent.
One year of claims handling experience.
Proven interpersonal, analytical, and negotiation abilities.
Ability to provide information clearly and concisely.
Ability to build effective relationships.

Nice To Haves

Knowledge of legal liability, insurance coverage, and medical terminology.

Responsibilities

Manage an inventory of claims and evaluate compensability and liability.
Establish action plans based on case facts, best practices, protocols, regulatory issues, and available resources.
Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages.
Assess policy coverage for submitted claims and notify the insured of any issues.
Determine and establish reserve requirements, and adjust reserves as needed during claim processing.
Refer claims to the subrogation group or Special Investigations Unit when appropriate.
Assess actual damages and negotiate claim settlements within assigned authority limits.
Perform other duties as assigned.