Claims Specialist
Liberty Mutual Insurance
Description 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. 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. Qualifications Proven interpersonal, analytical and negotiation abilities required. Ability to provide information in a clear, concise manner, ability to build effective relationships. Bachelor’s degree or equivalent in addition to 1-year claims handling experience. Knowledge of legal liability, insurance coverage and medical terminology preferred. Licensing may be required in some states. 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. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. 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. To learn more about our benefit offerings please visit. Fair Chance Notices Liberty Mutual is an equal opportunity employer. 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. #J-18808-Ljbffr Liberty Mutual Insurance
- ...Description 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/...SuggestedLocal area
- ...Liberty Mutual Insurance is seeking a Claims Specialist in Rocklin, California. The role involves managing a caseload of routine to moderately complex claims, utilizing technology for efficient claim handling. Candidates will assess damages, establish action plans, and...Suggested
- ...Workers Compensation Claims Specialist 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...SuggestedWork experience placementRemote work
$67k - $126k
...Full-Time Salary Range: USD $67000.00 - $126000.00 Job Category: Claims Description Are you looking for an opportunity to join a fast-... ...an exciting opening for a Senior Workers Compensation Claims Specialist within the West Region! The Senior Claims Specialist works within...SuggestedFull timeWork experience placementLocal areaRemote work$102.15k - $120.18k
...and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. Description We are looking for a Senior Claims Specialist – Commercial Auto BI to join our team! Job Summary Investigate, evaluate and settle more complex first and third party commercial...SuggestedWork at officeRemote work$82.8k - $97.3k
...Claims Specialist - Auto Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and...- Liberty Mutual Insurance is seeking a Claims Specialist to manage an assigned caseload using advanced technology. In this role, you will evaluate compensability, establish action plans, and negotiate settlements while ensuring exceptional service to customers. Ideal candidates...
$95k - $105k
...rated A++ by A.M.Best. Job Summary Investigate, evaluate and settle more complex first and third‑party commercial insurance property claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate to establish proper reserves;...Work at officeRemote work- Adventist Health Shared Services in Roseville, CA is seeking a Patient Account Associate for a 26-week contract to handle medical billing, claims processing, collections and reimbursement activities across assigned patient accounts. The ideal candidate has healthcare billing...Contract work
- ...A prominent insurance company is seeking a Workers Compensation Claims Specialist to join their claims team in California. The role involves investigating and managing claims, negotiating settlements, and mentoring new team members. Candidates should have at least 2 years...Remote work
- Overview The Senior Claims Specialist works 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...Work experience placementLocal area
- First Insurance Company Of Hawaii seeks a claims adjuster to manage complex first and third-party property claims. This role requires evaluating each claim and determining coverage, as well as extensive communication with all parties involved. The ideal candidate will...Remote jobWork at office
- An insurance provider in California is looking for a Claims Specialist - Auto. The role involves investigating, evaluating, and settling complex insurance auto claims. Candidates should possess a High School Diploma, with a Bachelor's preferred, and have over 10 years of...
$95k - $100k
AvonRisk LLC, located in Rocklin, CA, is seeking a qualified Claims Adjuster to effectively manage complex claims files. The ideal candidate will have a Bachelor's degree and at least seven years of experience in claims handling, including at least five years managing...- Liberty Mutual Insurance is looking for a Senior Claims Specialist in Rocklin, California. This role involves using modern technology to review and process complex claims while making decisions on liability and negotiations. The ideal candidate will have 3 to 5 years of...
- ...consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Associate Claims Adjuster within the West Region! As an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct...Work at officeLocal areaImmediate start
- ...Workers Compensation Associate Claims Adjuster 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 exciting openings for Workers Compensation Associate Claims Adjuster...Work at officeLocal areaImmediate start
- American Pacific Mortgage Corporation is looking for a Capital Markets Specialist 3 to reconcile investor purchase advice and manage insurance claims. The ideal candidate will have strong Excel skills and a customer-service orientation. This in-office, part-time role requires...Part timeWork at office
$80k - $85k
...Claims Examiner - Workers Comp (Hybrid, Roseville, CA) PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication...Work at officeFlexible hours- ...a background in medical billing, preferably with an Associate’s degree or relevant experience. Responsibilities include submitting claims, managing unpaid accounts, and supporting overall office tasks. The position aligns with Adventist Health's commitment to safety and...Work at office
- ...Duties : Analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation Ensure ongoing adjudication of claims within service expectations, industry best...Full time
- ...Claims Examiner - Workers Compensation Minimum 3 years of relevant CA WC claims experience is mandatory. California WC claims handling experience is required. Must have OSIP certificate. Remote but within California. To analyze complex or technically difficult workers...Remote work
$75k - $77.5k
Launch Your Sales and Underwriting Career with Amwins At Amwins, we’re not just developing underwriters — we’re building elite sales professionals. Our Underwriter Development Program (UDP) at Amwins Access is a 2.5-year intensive training track designed to fast-track ...Work experience placementWork at office- ...seeking a dedicated Home Health Medical Biller for its team in Roseville, California. This full-time role entails responsibilities like claim submissions, accounts receivable management, and denial resolution, ensuring timely reimbursements for services rendered. The ideal...Full time
- Philadelphia Insurance Companies in Roseville, California, is seeking a Senior Claims Specialist for Commercial Auto BI. The role involves investigating and settling complex first and third party auto claims. Ideal candidates will have 15 years of related experience and...Remote job
$95k - $105k
...ideas to help solve problems for some of the world’s best brands?Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.Deliver innovative customer-facing solutions to clients who represent virtually every...Work at officeRemote workFlexible hours$55.01k - $91.69k
...of the PL Underwriting Supervisor Complete underwriting and file reviews on referred new business, endorsements, inspections, CRU Claim Report to Underwriting, and renewal questionnaires. Field incoming phone calls and email messages from agents to provide...Temporary workWork at officeLocal areaWork from homeVisa sponsorshipFlexible hours$92.2k - $115k
...supervise in manager’s absence. Possess leadership abilities in a team environment and provide project leadership. Serves as a product specialist and a technical consultant to branches and sales staff and provides assistance and exceptional sales support in answering...Work experience placementInterim roleWork at officeLocal area$80k - $98k
Sedgwick is seeking a Worker's Compensation Claims Examiner in Roseville or Long Beach, California. The role involves analyzing claims to determine benefits, negotiating settlements, and communicating with claimants and clients. Candidates should have at least 5 years...Flexible hours- Join RPS At RPS, we don't just embrace bold ideas, we make them happen. We're a team of entrepreneurs, big-picture thinkers, and passionate experts who thrive on possibility. Every day, we collaborate across teams, challenge convention, and push boundaries to design...Live outWork at officeLocal areaFlexible hours
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