Technical Claims Specialist, Workers Compensation

Job Description

Schedule: Full-Time
Job Category: Claims
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.
Under limited supervision and established practices, the Technical Claims Specialist is responsible for the investigation, evaluation, and disposition of complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics.
This role is remote within the Northeast region. Candidates residing within 50 miles of our Weatogue, CT office, will be expected to work onsite up to two days per month. On-site expectations may evolve based on business needs.
*This position may be filled as a Technical Claims Specialist I, Workers Compensation or Technical Claims Specialist II, Workers Compensation. Investigates claims to determine whether coverage is provided, establish compensability and verify exposure.
Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority.
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.
Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
Demonstrates the ability to understand key data elements and claims related data analysis.
Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff.
A Bachelors degree or equivalent business experience is required
In addition, the candidate will generally possess 3-5 years of related claims experience
Proficient in use of Excel and PowerPoint
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. 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.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. 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. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being.
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.
Employment Type: Full Time