Complex Claims Specialist - Workers Compensation
Full Time
East Syracuse, NY
Posted
Job description
Description & ResponsibilitiesQualifications
Featured Benefits
Why Liberty Mutual?
Advance your claims career with Liberty Mutual Insurance!
Liberty Mutual has an immediate opening for a Technical Claims Specialist within our Workers Compensation division. This role can be filled as a Technical Claims Specialist I or II, depending on candidate experience. In this role, under general supervision and established practices, you will be responsible for the investigation, evaluation and disposition of complex Workers Compensation (WC) cases of moderate to high exposure. The Technical Claims Specialist has developed a solid understanding of Workers Compensation claims handling techniques, generally as a result of progressing through the Case Manager job family.
GRS North America Claims is excited to announce our go forward strategy to provide employees with the flexibility to work from home full-time. Candidates who are selected for this position will be trained remotely and should reside within a reasonable commute of our Syracuse, NY or Bala Cynwyd, PA hub offices to attend occasional collaborative activities with your team, as needed. Albany, NY candidates will be fully remote and not expected to report into a local office.
Job 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 on cases which exceed authority.
Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
Identifies and appropriately handles suspicious claims.
Identifies and appropriately handles claims with third party subrogation and SIF potential.
Understands the MSA process and how best to maximize their value. Establishes and maintains accurate reserves on all assigned files.
Makes timely reserve recommendations to Branch Office Management on cases which exceed authority. Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
Makes recommendations regarding strategy on litigated files.
Demonstrates the ability to understand key data elements and claims related data analysis.
Confers directly with policyholders on coverage and resolution strategy issues.
Establishes and updates “Action Plans” on assigned claims which clearly reflect file status and disposition strategy.
Job Specifications:
Reference: 2023-54894
Category: Claims
Primary Location: East Syracuse, NY
Additional Locations: Albany, NY; Pittsburgh, PA; Bala Cynwyd, PA;
Schedule: Full-Time
Salary: USD-$72,200.00-–-$97,700.00-/-Year
Education Level: Bachelor’s Degree
Travel: As Needed
What is it like to work in Claims at Liberty Mutual?
Video length: 70 seconds
1:10
Hello, I'm Nick and I'm a claims resolution specialist here at Liberty Mutual. …
Nicholas
Sr. Claims Resolution Specialist
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