Claims Specialist II, Workers Compensation - West Region

Liberty Mutual-posted 2 months ago
Entry Level
Remote • Lake Oswego, OR
5,001-10,000 employees
Insurance Carriers and Related Activities
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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. Candidates must reside within 50 miles of Lake Oswego, OR; and Chandler, AZ; and will be required to work onsite twice a month. Candidates residing in CA will be considered in all locations and may be eligible for 100% remote work. Please note that this policy is subject to change.

  • Plans and conducts investigations of claims including interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody to analyze and confirm coverage and to determine liability, compensability and damages.
  • Determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
  • Refers claim 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, adjusting reserves, as necessary, during the processing of the claim.
  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
  • Coordinates the 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.
  • 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.
  • Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).
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