Claims Specialist
About The Position
The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claim’s management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Should you reside within 50 miles of a Liberty Mutual Office in Suwanee, GA; Plano, TX; Hoffman Estates, IL; or Boston, MA, you will be required to go into the office twice a month. Title and pay commensurate with experience.
Requirements
- Experience in handling Bodily Injury Claims 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
- Experience in handling litigated claims is preferred but not required.
- Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).
Responsibilities
- Manages an inventory of claims to evaluate compensability/liability.
- Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
- Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
- 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, refers claims to the subrogation group or Special Investigations Unit as appropriate.
- Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
- Performs other duties as assigned.
Benefits
- Comprehensive benefits
- Workplace flexibility
- Professional development opportunities
- Opportunities provided through our Employee Resource Groups
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
