Technical Claims Specialist I-Workers Compensation
Under general supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of moderate to high exposure. Has developed a solid understanding of Workers Compensation claims handling techniques, generally as a result of progressing through the Case Manager job family.
The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region.
Must reside within the state of CA.
GRS North America Claims is excited to announce our go forward strategy to provide employees with the flexibility to include an option to work from home full-time. Candidates who are selected for this position will be trained remotely and should be available as needed to travel based on business needs.
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.
- A Bachelors degree or equivalent business experience is required
- In addition, the candidate will generally posses 3-5 years of related claims experience
- Proficient in use of Excel and PowerPoint
- Effective written and verbal communication skills required
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