Claims Specialist II, Workers Compensation - West Region

Liberty Mutual • Glendale, CA

77d • Remote

About The Position

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region! As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads. Depending on your overall skills and experience, you may be considered as a Claims Specialist II, Senior Claims Specialist I, or Senior Claims Specialist II. The salary range posted reflects the varying pay scale across various locations.

Requirements

• Minimum of 2 years of experience in Workers' Compensation claims handling lost time and litigated claims.
• Direct claims handling experience from investigation through resolution is required.
• BS/BA degree or equivalent work experience.
• Minimum of 2 years experience in claims adjustment, general insurance or formal claims training.
• Required to obtain and maintain all applicable licenses.
• Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.

Nice To Haves

• Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).

Responsibilities

• Plans and conducts investigations of claims including interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence.
• Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
• Refers claims to subrogation group or Special Investigations Unit as appropriate.
• Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements.
• Assesses actual damages associated with claims and conducts negotiations to settle claims.
• Coordinates litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
• Acts as senior technical professional on team, assisting team members with escalated issues.
• Mentors and trains new team members.
• Participates in Quality Review process.
• Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
• Performs other duties as assigned.

Benefits

• Comprehensive benefits and continuous learning opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees