Complex Technical Claims Specialist II - Workers Compensation NV
Company: Liberty Mutual
Location: Las Vegas
Posted on: May 6, 2024
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Job Description:
Pay PhilosophyThe 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. 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.
Description Under limited supervision and established practices,
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 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.
Responsibilities
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. 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 and MSA 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. Coordinates and participates in
training sessions for less experienced staff, including both
Complex non-Complex staff.
QualificationsA Bachelors degree or equivalent business experience
is required
In addition, the candidate will generally posses 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 skill required
About UsAt Liberty Mutual, our purpose is to help people embrace
today and confidently pursue tomorrow. That's why we provide an
environment focused on openness, inclusion, trust and respect.
Here, you'll discover our expansive range of roles, and a workplace
where we aim to help turn your passion into a rewarding
profession.
Liberty Mutual has proudly been recognized as a "Great Place to
Work" by Great Place to Work - US for the past several years. We
were also selected as one of the "100 Best Places to Work in IT" on
IDG's Insider Pro and Computerworld's 2020 list. For many years
running, we have been named by Forbes as one of America's Best
Employers for Women and one of America's Best Employers for New
Graduates as well as one of America's Best Employers for Diversity.
To learn more about our commitment to diversity and inclusion
please visit:
https://jobs.libertymutualgroup.com/diversity-inclusion
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. To learn more about our benefit
offerings please visit: https://LMI.co/Benefits
Liberty Mutual is an 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.
Keywords: Liberty Mutual, Las Vegas , Complex Technical Claims Specialist II - Workers Compensation NV, IT / Software / Systems , Las Vegas, Nevada
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