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Senior Claims Specialist, Workers' Compensation - 103620

Employer
Liberty Mutual Insurance
Location
Honolulu, Hawaii
Salary
Not Specified
Closing date
May 31, 2019

View more

Category
Claims, Workers' Compensation
Job Type
Not Specified
Career Level
Not Specified

Job Details

Advance your career at Liberty Mutual - A Fortune 100 Company!

Review, analyze and process moderately complex claims within assigned authority limits and consistent with policy and legal requirements to ensure the delivery of quality service to customers while protecting the assets of the company.

Responsibilities:

  • Reviews and administratively sets-up claims in software tracking system and writes or revises the brief description of loss to ensure that it accurately reflects the actual circumstances.
  • Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process.
  • 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.
  • 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.
  • Determines and documents, during the investigation process, the potential for subrogation, identifying applicable tort feasors and promptly placing them "on notice" of claim; refers claims to subrogation group upon recognition of potential recovery.
  • Evaluates claims for potential fraud and makes referrals to the Special Investigations Unit as appropriate.
  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
  • Alerts underwriting, marketing and/or risk management regarding questionable risks encountered to ensure that potential hazards are clearly documented.
  • May coordinate elements of litigation efforts, or assume direct responsibility for select litigation efforts for development purposes, associated with assigned claims to ensure a timely and cost-effective resolution; may attend trails as a company representative.
  • Participates in the training of, and serves as a technical resource for, less experienced claims personnel.
  • May participate in conducting Suit Committees, Roundtables, Arbitrations, Mediations and field investigations.

NOTE: This is a range posting, the actual internal level/grade for this role will depend on the candidates overall experience and skill level. This role offers flexible work options such as work from home days and/or compressed work week schedules.

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)

  • 3 to 5 years directly related work experience.

  • Required to obtain and maintain all applicable licenses.

Benefits:

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

Overview:

At Liberty Mutual, we give motivated, accomplished professionals the opportunity to help us redefine what insurance means; to work for a global leader with a deep sense of humanity and a focus on improving and protecting everyday lives. We create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued and their growth championed.

Were dedicated to doing the right thing for our employees, because we know that their fulfillment and success leads us to great places. Life. Happiness. Innovation. Impact. Advancement. Whatever their pursuit, talented people find their path at Liberty Mutual.

Company

When people have a sense of security, they are free to relax, venture out, and live their lives. This is the feeling Liberty Mutual brings to the world every day. Founded in 1912, we are a global leader in property and casualty insurance, focused on protecting and preserving the lives and dreams of customers in more than 30 countries. With over 50,000 employees throughout the world, we offer you the chance to work for an evolving, growing company with a deep sense of humanity and a commitment to diversity and philanthropy. Join our team and go to work knowing that what you do matters. Because really it does.

 

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