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    Technical Claims Specialist II, Workers Compensation - Plano, United States - Liberty Mutual Insurance

    Liberty Mutual Insurance
    Liberty Mutual Insurance Plano, United States

    2 weeks ago

    Liberty Mutual Insurance background
    Description

    Pay 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 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
    Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available.

    The Technical Claims Specialist II will be responsible for the oversight, evaluation, and disposition of Complex Workers Compensation Excess and Primary Unbundled cases of varying exposures and severity. The Technical Claims Specialist II provides highly specialized technical knowledge to TPAs and self-insureds. In this role, you are expected to have developed a high-level knowledge of workers compensation claims handling, a full knowledge of LMG claims procedures and are cognizant of new industry trends and claims handling techniques.

    You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Bala Cynwyd, PA; Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Syracuse, NY; Tampa, FL; or Weatogue, CT. Please note this policy is subject to change.

    Responsibilities

    The Technical Claims Specialist II will be responsible for the following:

    • Investigates claims to determine whether coverage exists on files. Researches and resolves complex coverage problems and may meet with policyholders to review coverage issues.
    • Works with Third-Party Administrator (TPA) and self-insureds to resolve claims within authority and makes recommendations regarding case value and resolution strategy to management as well as TPAs and self-insureds.
    • Establishes and updates Resolution Strategies on assigned claims which clearly reflect file status and disposition strategy.
    • Identifies and appropriately handles claims with third party subrogation potential, Second Injury Fund (SIF) and Medicare Set Aside (MSA)
    • Demonstrates the ability to understand new and unique exposures and coverages.
    • Demonstrates the ability to understand key data elements and claims related data analysis.
    • Communicates with Legal, Sales, Underwriting, Loss Prevention, Auditing, Financial on a regular basis to discuss exposures, defenses and handling of Worker Compensation Excess and Unbundled claims.
    • Identifies and appropriately handles suspicious claims.
    • Licensing required in TX, NM, and OK, but can be obtained within 60 days of starting in the role.
    • Exercises a high level of autonomy in handling and reviewing assigned cases and completing special projects.
    • Demonstrated ability in handling a full range of claims files including high exposure and more complex cases.
    • Ability to work well with special service accounts.
    • Thorough knowledge of Claims Department procedures and operations as well as understanding of claims department loss control program.
    Qualifications
    • A 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 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. To learn more about our benefit offerings please visit:

    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.
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