Technical Claims Specialist, Workers Compensation - West Region

Responsibilities

• Investigates claims to determine coverage, establish compensability, and verify exposure.
• Solves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority.
• Participates in pricing, reserving, and strategy discussions with HO Examining and Examining Management.
• Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
• Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely.
• Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure.
• Establishes and maintains accurate reserves on all assigned files.
• Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
• Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
• Demonstrates the ability to understand new and unique exposures and coverages.
• Demonstrates the ability to understand key data elements and claims related data analysis.
• Confers directly with policyholders on coverage and resolution strategy issues.
• Collaborates with less experienced staff, including both Complex and Non-Complex staff, in training sessions.

Qualifications

• A bachelor’s degree or equivalent business experience is required.
• The candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims.
• Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills are required.

About the Role

The candidate should be based in the West Region with California or Washington Self-Insured Certification.

Pay

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.

Benefits

At Liberty Mutual, we offer comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Our goal is to create a workplace where everyone feels valued, supported, and can thrive.

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. Fair Chance Notices are applicable in California, Los Angeles, and Philadelphia.