Technical Claims Specialist, Workers Compensation

Liberty Mutual Insurance•Lake Oswego, OR

1d•$86,800 - $112,500

About The Position

Under limited supervision and established practices, the Technical Claims Specialist investigates, evaluates, and disposes of complex, high-exposure and high-severity Workers Compensation cases. The role applies established medical management strategies to high-dollar complex claims and uses available data to track claims trends and related metrics. The specialist is expected to have advanced knowledge of Workers Compensation claims handling techniques, Liberty Mutual Group claims procedures, and current industry trends and practices. Candidates must be based in Oregon and hold an Oregon Workers Compensation Adjuster License. The position handles claim coverage, compensability, exposure, valuation, reserves, and resolution strategy. It works with management, examining teams, staff, policyholders, and outside defense counsel, and may attend mediations or settlement conferences and negotiate on behalf of Liberty Mutual Group and its insureds. The role also supports training for less experienced complex and non-complex claims staff. A bachelor’s degree or equivalent business experience is required. Candidates generally have 5–7 years of related claims experience, including 1–2 years in complex claims. Proficiency in Excel and PowerPoint, along with excellent written and verbal communication skills, is required. The salary range varies by Liberty Mutual region and cost of living; the typical starting salary is determined by factors including skills, experience, education, certifications, and location. Some roles may have a compensation plan that includes commission and/or bonus earnings. The company describes comprehensive benefits, workplace flexibility, professional development opportunities, and Employee Resource Groups.

Requirements

Must be based in Oregon.
Oregon Workers Compensation Adjuster License required.
Bachelor’s degree or equivalent business experience required.
Generally 5–7 years of related claims experience, including 1–2 years of complex claims experience.
Demonstrated proficiency in Excel and PowerPoint.
Excellent written and verbal communication skills.

Responsibilities

Investigate claims to determine coverage, establish compensability, and verify exposure.
Resolve claims within authority and recommend case value and resolution strategy to Branch Office Management and HO Examining when cases exceed authority.
Participate in pricing, reserving, and strategy discussions with HO Examining and Examining Management.
Work with staff and outside defense counsel to manage litigated files according to established litigation management protocols.
Identify and appropriately handle suspicious claims and claims with potential to develop adversely.
Identify and appropriately handle claims with third-party subrogation potential, Self-Insured Fund (SIF) exposure, and Medicare Set Aside (MSA) exposure.
Establish and maintain accurate reserves on assigned files.
Make timely reserve recommendations to Branch Office Management and HO Examining on cases that exceed authority.
Prepare for and attend mediation sessions and/or settlement conferences, and negotiate on behalf of LMG and its insureds.
Understand new and unique exposures and coverages.
Understand key data elements and perform claims-related data analysis.
Confer directly with policyholders on coverage and resolution strategy issues.
Coordinate and participate in training sessions for less experienced complex and non-complex staff.