Associate Claims Adjuster, Workers Compensation
Liberty Mutual Insurance
Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth. This approach optimizes both remote and in-person interactions, enabling you to connect and ideate with your team and deepen valuable relationships across the company, while still enjoying the flexibility of remote work for focused tasks and projects. The Workers Compensation Claims Specialist works within a Claims Team under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Assists in providing service to policyholders/customers on mid-sized and/or large commercial accounts. We are open to filling this position as an Associate Claims Specialist I (grade 10) or Claims Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate experience. This is a hybrid position with a strong preference for candidates located within 50 miles of the Plano, TX office, as the role requires in-office attendance twice per month. Candidates residing within 50 miles of a GRS Claims office in Suwanee, GA, or Chandler, AZ, will also be considered. Please note that this onsite attendance requirement is subject to change based on business needs. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. Training will require travel for 1 week to our office in Plano, TX in November. Responsibilities:
- Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
- Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.
- Manages an inventory of worker's compensation claims, evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
- Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
- Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.
- Responsible for review, analysis, and disposition of assigned claims within authority limits and state compliance.
- Updates file, strategizes and executes plans to mitigate exposure and increase disposal.
- Effective interpersonal, analytical and negotiation abilities required.
- Ability to provide information in a clear, concise manner with an appropriate level of detail.
- Demonstrated ability to build and maintain effective relationships.
- Demonstrated success in a professional environment; success in a customer service/retail environment preferred.
- Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent.
- Knowledge of legal liability, insurance coverage and medical terminology are helpful, but not mandatory.
- Licensing may be required in some states.
- California
- Los Angeles Incorporated
- Los Angeles Unincorporated
- Philadelphia
- San Francisco
Vacancy posted 2 days ago
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