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

Under moderate supervision in a branch office, obtains information, maintains essential information and determines coverage and eligibility under the policy in order to process medical claims. Recognizes and solves problems of limited scope and complexity.

Responsibilities:

• Obtains information and maintains accurate records about accidents and injuries from customers and claimants through telephone and written reports. Reviews medical records, and communicates with customers, claimants, physicians, medical providers, attorneys, agents and repair shops, etc.
• Secures essential facts about accidents, assesses liability/compensability, negotiates settlements and explains denials to policyholders and claimants. Recognizes potential subrogation cases, prepares cases for subrogation and refers these cases to the Centralized Subrogation Unit.
• Reviews medical records and bills to verify claimed treatment is causally related to the accident and is reasonable and necessary given facts of the claim.
• Learns to use internet and Liberty Mutual contracted vendors (i.e. Smart Advisor, AIS) for evaluation of medical payments.
• Follows ICP procedures to screen and rule out bodily injury claims and refers potential bodily injury. Obtains recorded interviews as required.
• Processes Wage Claims, No Fault and medical payment claims. Secures and reviews appropriate medical documentation to verify treatment and causal relationship.
• Registers claims, updates status notes, establishes target dates, communicates with others, schedules appointments and releases payments on the automated system within limit of authority.
• May arrange Independent Medical Exams.

Qualifications:

• Demonstrates a proficient understanding and use of basic policy/contract coverages and be able to recognize questionable coverage/contract situations which necessitate supervisory involvement.
• Good oral and telephone communication skills as well as typing skills required.
• The capabilities, skills and knowledge required is normally acquired through a High School diploma or equivalent experience and at least 1-3 years of directly related experience.
• Ability to obtain proper licensing as required.

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: 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.

We’re 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.