Claims Specialist

Liberty Mutual•Hoffman Estates, IL

6d•Hybrid

About The Position

The Claims Specialist works within a Claims Team and uses technology to manage an assigned caseload of routine to moderately complex claims from investigation through resolution. The role makes decisions about liability and compensability, evaluates losses, and negotiates settlements. It involves interacting with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims process. Training is provided, with an emphasis on developing skills to deliver exceptional customer service. This is a hybrid position. Candidates who live within 50 miles of select offices are expected to work in the office twice a month.

Requirements

Experience with bodily injury and commercial claims.
A BS/BA degree or equivalent work experience.
At least 2 years of experience in claims adjustment, general insurance, or formal claims training.
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, such as AEI, IIA, or CPCU.

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 insureds of any issues.
Determine reserve requirements and adjust reserves as needed while processing claims.
Refer claims to the subrogation group or Special Investigations Unit when appropriate.
Assess actual damages and negotiate settlements within assigned authority limits.
Perform other duties as assigned.