Workers Compensation Claims Specialist

Liberty Mutual Insurance • Lake Oswego, OR

20d • Hybrid

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.
To support your success, we provide comprehensive training, including a mandatory one-week, in-person session at our Plano, TX, office (travel required; 100% attendance needed).

This is a remote position with location-based exceptions. If you live within 50 miles of one of our offices in Lake Oswego, OR; Chandler, AZ; Anchorage, AK; or Rocklin, CA, you’ll be expected to work onsite twice per month. If you’re located in Los Angeles County or Orange County, CA, the role is fully remote. Please note that this policy may evolve based on business needs.
Experience in the Washington jurisdiction is preferred.

Requirements

• 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).
• Experience in the Washington jurisdiction is preferred.

Responsibilities

• Plans and conducts investigations of claims (including such activities as 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 to 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.

Benefits

• At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
• We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://LMI.co/Benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level