REMOTE POSITION / CLAIMS PROCESSOR

Schedule: Full-Time
Job Category: Claims
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. Candidates residing in CA and WA 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 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; Participates in Quality Review process.
Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
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.
Continuing education courses leading to industry certifications preferred (e.g., Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.
About Us

Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
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. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Employment Type: Full Time