Workers' Compensation Claims Technician

Liberty Mutual Insurance is seeking a Workers Compensation Claims Technician to join a fast-growing claims team. This role involves processing routine workers' compensation claims with ongoing medical management and providing quality service to injured workers and customers.

About the role

Selected candidates will be trained remotely and must attend the office twice a month if residing within 50 miles of a specified office. This policy is subject to change.

Responsibilities

• Conduct investigations to secure essential facts from injured workers, employers, and providers regarding workers' compensation through telephone or written reports.
• Verify information from claimants, physicians, and medical providers to assess compensability and/or causal relation of medical treatment, and evaluate cases requiring ongoing medical management.
• Provide ongoing medical case management for assigned claims, including initiating calls to injured workers and medical providers if projected disability exceeds maximum triage model projections or to resolve medical treatment issues.
• Maintain contact with injured workers, providers, and employers to ensure understanding of protocols, claims processing, and medical treatment.
• Assess claim status to determine if problem cases or those exceeding protocols should be referred to the Claims Service Team, MP RN review, or other medical/claims resources.
• Arrange Independent Medical Exams and Peer Reviews as necessary.
• Maintain accurate records and handle administrative responsibilities, including documenting results of contacts, medical reports, and duration information per file posting standards.
• Generate form letters following set guidelines (e.g., letters to physicians, letters confirming medical treatment and disability, and letters outlining expected outcomes to employers).
• Authorize payment of medical payments and/or medical treatment.
• Recognize potential subrogation cases, prepare them for subrogation, and refer these cases to the Subrogation Units.

Requirements

• High school diploma plus 1-3 years of related customer service experience or applicable insurance knowledge.
• Licensing required in some states.
• Effective analytical skills to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations.
• Strong interpersonal skills to explain decisions clearly to customers.
• Effective written skills to compose clear, succinct descriptions for file posting and correspondence.
• Good telephone and typing skills.
• Ability to learn when to use medical management resources, know when to use them, and follow through with received information.

About Us

At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes diverse perspectives and experiences, with inclusion embedded in every aspect of our culture. This includes comprehensive benefits, workplace flexibility, professional development opportunities, and support through Employee Resource Groups.

Benefits

We offer benefits that support your life and well-being. To learn more about our benefit offerings, visit Liberty Mutual Benefits.