-
Claims Specialist
1 week ago
CorVel Corporation Portland, United States Full timeCorVel Corporation is seeking a full time Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to best possible outcome, under the direct supervision of a se ...
-
Claims Specialist
2 weeks ago
CorVel Enterprise Comp, Inc. Portland, United StatesJob Description · Job DescriptionCorVel Corporation is seeking a full time Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to best possible outcome, und ...
-
Claims Specialist
2 days ago
Fora Health Portland, United StatesJob Description · Job Description · The mission of Fora Health is to provide treatment, care and advocacy for all who are affected by substance use disorder. We are committed to providing a wide range of accessible, coordinated and well‐integrated services that benefit the commun ...
-
Content Claims Specialist
1 week ago
Crawford & Company Portland, United StatesExcellence In Everything We Touch · Position Summary · The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key areas of edjusters content claims handling operations: · Acting/operating as a third party, intermediary bet ...
-
claims specialist
1 week ago
ResCare Premier Inc. Vancouver, United StatesRequisition: CLAIMS SPECIALIST Job Locations US-WA-VANCOUVER ID Line of Business PharMerica Position Type Full-Time Pay Min USD $23.00/Hr. Pay Max USD $23.00/Hr. Our Company PharMerica Overview Join our PharMerica team PharMerica is a closed-door pharmacy where you can focus on f ...
-
Senior Workers Compensation Claims Specialist I
4 weeks ago
Liberty Mutual Insurance Lake Oswego, United StatesPay Philosophy · The 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 p ...
-
claims specialist
3 weeks ago
BrightSpring Health Services Vancouver, United StatesTraining inclusive auditing for accuracy of claim processing and working with team on training documents - Third Party Claims processing and payer subject matter expert - Provide support to 3rd Party Claims Specialist I answering operational question Claims Specialist, Claims, Sp ...
-
Claims Support Specialist
4 weeks ago
CampusPoint Beaverton, United StatesHere is your opportunity to deliver accessible, high-quality integrative healthcare (IH) solutions that promote member health and satisfaction, optimize healthcare resources, educate providers, and advocate evidence-based care. Our client is one of the leaders in their industry, ...
-
Claims Support Specialist
3 weeks ago
CampusPoint Beaverton, United StatesHere is your opportunity to deliver accessible, high-quality integrative healthcare (IH) solutions that promote member health and satisfaction, optimize healthcare resources, educate providers, and advocate evidence-based care. Our client is one of the leaders in their industry, ...
-
Medical Coder II, Certified
2 days ago
Southern Pro Staffing Clackamas, United StatesJob Description · Job DescriptionLocation: Clackamas, OR - REMOTE · JOB SUMMARY: · This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regu ...
-
Receptionist - State Farm Agent Team Member
12 hours ago
Jack Nadelhoffer - State Farm Agent Clackamas, United States Full timeBenefits:Simple IRA Matching · Bonus based on performance · Competitive salary · Health insurance · Opportunity for advancement · Paid time off · Training & development · Dental insurance · ROLE DESCRIPTION: · Jack Nadelhoffer State Farm is seeking an organized and efficient spec ...
-
Payroll Analyst
3 weeks ago
Barrett Business Services Lake Oswego, United StatesPayroll Specialist · Description · Our focus is business owners. Is yours? · Everything we do at BBSI is in support of business owners. We facilitate conversations around a broad range of organizational areas that allow business owners to run their companies more effectively. Wit ...
-
Property Risk Engineer
2 weeks ago
Travelers Insurance Lake Oswego, United StatesWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultur ...
-
Order Entry Representative
2 weeks ago
Aston Carter Lake Oswego, United StatesOrder Entry Customer Service Specialist needed for Aerospace/aviation company - Lake Oswego, OR · Job Description: · The Order Entry/ Customer Support Associate I position works as part of the Logistics and Customer Support team and interfaces with the customer to understand an ...
-
Private Client Account Executive
1 week ago
HUB International Lake Oswego, United StatesAbout HUB · In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected. As one of the world's largest insurance brokers, our focus is dedicated to providing our customers with the peace of mind that what matters most will be protected ...
-
Office Specialist 1
1 week ago
State of Oregon Tigard, United StatesJob Description: · Do you have exceptional customer service skills and enjoy a fast-paced environment with competing priorities? Do you have excellent organization, attention to detail, and time management skills? If so, this job may be the start of your career · If you have Spa ...
-
Licensed Customer Service Representative
5 days ago
Heidi Rowan Insurance Agency Happy Valley, United StatesJob Description · Job DescriptionWe are seeking an experienced individual to join our Allstate agency as a Licensed Customer Service Representative to specialize in advocating for our clients with claims satisfaction, brokerage policies, and billing issues. · The ideal candidate ...
-
Medicaid Support Specialist: SPED
1 week ago
Clackamas Education Service District Clackamas, United StatesPosition Type:Classified/ClassifiedDate Posted:6/7/2024Location:Special EducationDate Available:7/1/24Closing Date:6/21/24 Medicaid Support Specialist , Special EducationLocation : Sunnybrook Office: Clackamas, ORSchedule : 8 hours per day/ 5 days per week/ Year Round CalendarCla ...
-
Revenue Management Recovery Specialist
4 weeks ago
Kaiser Permanente Lake Oswego, United StatesKaiser Permanente · Revenue Management Recovery Specialist · Portland , · Oregon · Apply Now · Revenue Management Recovery team will design and deploy strategic delivery arm of revenue cycle that will deliver the changes, Team assembled to perform root cause analysis and rem ...
-
Provider Relations Specialist II
3 weeks ago
CareOregon Lake Oswego, United StatesCareOregon Inc. · Provider Relations Specialist II · Portland , · Oregon · Apply Now · Career Opportunities: Provider Relations Specialist II Requisition ID Posted 05/14/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (2)Job Description Print PreviewJob ...
Senior Workers Compensation Claims Specialist I - Lake Oswego, United States - Liberty Mutual Insurance
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.
DescriptionThe Senior Workers Compensation Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.
Training is a critical component to your success and that success starts with reliable attendance.Attendance and active engagement during training is mandatory.
T
raining will require 2 weeks in our office in Plano., TX.
To be considered for this position, you are required to reside within 50 miles of Liberty Mutual's Kent, WA or Lake Oswego, OR office.
Responsibilities:
Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) 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.
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.
Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
Acts as senior technical professional on team, assisting team members with escalated issues.Mentors and trains new team members.
Participates in Quality Review process.
Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
Performs other duties as assigned.
Qualifications
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Required to obtain and maintain all applicable licenses.About Us
At 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:
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.
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.
#J-18808-Ljbffr