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Workers Compensation Claims Specialist
Liberty Mutual - Albuquerque, NM
posted 2 months ago
About the position
The Workers Compensation Claims Specialist at Liberty Mutual is responsible for managing a caseload of routine to moderately complex claims from investigation through resolution. This role involves evaluating claims for liability and compensability, negotiating settlements, and interacting with various stakeholders including claimants, policyholders, and attorneys. The position emphasizes training and skill enhancement to provide exceptional service to customers, and it is a remote role with mandatory training that requires travel to Plano, TX.
Responsibilities
- Manages an inventory of claims to evaluate compensability/liability.
- Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
- Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
- 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.
- Refers claims to the subrogation group or Special Investigations Unit as appropriate.
- Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
- Performs other duties as assigned.
Requirements
- Bachelor's degree or equivalent in addition to 1-year claims handling experience.
- Proven interpersonal, analytical and negotiation abilities required.
- Ability to provide information in a clear, concise manner and build effective relationships.
- Knowledge of legal liability, insurance coverage and medical terminology preferred.
Nice-to-haves
- Licensing may be required in some states.
Benefits
- Comprehensive benefits package
- Continuous learning opportunities
- Diversity, equity, and inclusion initiatives
- Employee Resource Groups (ERGs) for community and support
