Senior Claims Processor- Remote

Senior Workers Compensation Claims Specialist

Liberty Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist within the West Region!

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 liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist 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 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.

Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.

Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state’s tort laws as normally acquired through a bachelor’s degree (or equivalent training) plus 3 to 5 years directly related work experience.

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.