Complex Technical Claims Specialist, Worker's Compensation, Commercial Insurance

Liberty Mutual Holding Company Inc. Glendale, CA
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company!

The Workers Compensation Claims Technical Claims Specialist is responsible for the review, analysis and processing of complex claims within assigned authority limits and consistent with policy and legal requirements. This position will be managing a Costco dedicated account. These claims are typically high exposure and often entail litigation. The goal of the position is to ensure the delivery of quality service to a dedicated account while protecting the assets of the company. Workers compensation claims handling experience required. Licensing recommended and/or preferred: CA SIP, WC CA Certification, UT, AZ, HI

Responsibilities:

* Performs or oversees the review and administrative set-up of claims in the software tracking system; assesses policy coverage and determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

* Plans and conducts investigations of claims to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners as appropriate

* Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.

* Works with underwriting, marketing and/or risk management regarding questionable risks encountered to ensure that potential hazards are clearly documented

* BS/BA degree or equivalent and 5+ years experience as a Claims Representative

* Licensing required in certain states

* Industry certifications preferred (e.g. AEU, IIA, CPCU)

* Thorough knowledge of claims investigation techniques as well as medical and legal aspects of the claim

* Financial settlement knowledge

Please note that as part of our application process for this position, you may be asked to fill out an employment questionnaire that may take up to 45 minutes to complete.

Qualifications:

* Bachelor's Degree or equivalent.

* Effective written and verbal communication skills to provide information in a clear and concise manner and to communicate with a variety of individuals.

* Effective analytical skills to gather information, analyze facts and make recommendations based upon information collected.

* Negotiation skills.

* Knowledge of legal liability, insurance coverage and medical terminology preferred.

Benefits:

We value your hard work, integrity and commitment to positive change. In return for your service, it's our privilege to offer you benefits and rewards that support your life and well-being. To learn more about our benefit offerings please visit: