Talent.com
Claims Specialist, Workers Compensation - West Region
Claims Specialist, Workers Compensation - West RegionLiberty Mutual Insurance • Orange, CA, US
Claims Specialist, Workers Compensation - West Region

Claims Specialist, Workers Compensation - West Region

Liberty Mutual Insurance • Orange, CA, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Description

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region!

As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability / compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property / casualty claims involving bodily injury or property loss. You may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.

Depending on your overall skills and experience, you may be considered as a Claims Specialist II, Senior Claims Specialist I, or Senior Claims Specialist II. The salary range posted reflects the varying pay scale across various locations.

Candidates must reside within 50 miles of Lake Oswego, OR; and Chandler, AZ; and will be required to work onsite twice a month. Candidates residing in CA will be considered in all locations and may be eligible for 100% remote work. Please note that this policy is subject to change.

Responsibilities :

  • 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.
  • Refers to claim to subrogation group or Special Investigations Unit as appropriate.
  • 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.
  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
  • Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
  • Acts as senior technical professional on team, assisting team members with escalated issues.
  • Mentors and trains new team members.
  • Participates in Quality Review process.
  • Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
  • Performs other duties as assigned.

To be considered for the role, candidates should possess the following :

  • Minimum of 2 years of experience in Workers' Compensation claims handling lost time and litigated claims. Direct claims handling experience from investigation through resolution is required.
  • Qualifications

  • BS / BA degree or equivalent work experience.
  • Minimum of 2 years experience in claims adjustment, general insurance or formal claims training.
  • Required to obtain and maintain all applicable licenses.
  • Continuing education courses leading to industry certifications preferred (., AEI, IIA, CPCU).
  • Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.
  • About Us

    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.

    As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.

    At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.

    We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers.

    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.

    Fair Chance Notices

    Need help finding the right job?

    Create a job alert for this search

    Compensation Specialist • Orange, CA, US

    Related jobs
    Claims Specialist

    Claims Specialist

    Talent Movers • Orange, California, USA
    Full-time
    We are Hiring for Claims Specialist in Orange CA.Our client is seeking a Claims Specialist for their Orange County office. This role involves handling technical and administrative responsibilities ...Show more
    Last updated: 2 days ago • Promoted
    Claims Supervisor

    Claims Supervisor

    Health Source MSO • Alhambra, CA, US
    Full-time
    Claims Supervisor will be responsible for assisting Claims Manager in overseeing the Claims Department.Responsibilities include, but not limited to : • Maintain up-to-date knowledge of procedures fo...Show more
    Last updated: 30+ days ago • Promoted
    Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA

    Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA

    Sedgwick • Brea, CA, US
    Full-time
    Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA.By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people ar...Show more
    Last updated: 30+ days ago • Promoted
    Claims Specialist

    Claims Specialist

    Civil Recruit • Orange, CA, United States
    Full-time
    Quick Apply
    Our client is seeking a Claims Specialist for their Orange County office.This role involves handling technical and administrative responsibilities related to managing assigned claim files and takin...Show more
    Last updated: 4 days ago
    Billing and Collections Specialist

    Billing and Collections Specialist

    Vaco by Highspring • Costa Mesa, California, United States
    Full-time
    We are seeking a detail-oriented and proactive.Billing and Collections Specialist.In this role, you will be responsible for managing and collecting outstanding accounts receivable balances, communi...Show more
    Last updated: 18 hours ago • Promoted • New!
    Claims Specialist

    Claims Specialist

    CorVel • Anaheim, CA, US
    Full-time
    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Show more
    Last updated: 30+ days ago • Promoted
    Workers Compensation Claims Specialist, Disposition

    Workers Compensation Claims Specialist, Disposition

    CNA • Brea, CA, US
    Full-time
    You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something...Show more
    Last updated: 30+ days ago • Promoted
    Senior Claims Manager - TN & KY Workers' Compensation

    Senior Claims Manager - TN & KY Workers' Compensation

    Great American Insurance Group • Anaheim, CA, US
    Full-time +1
    Strategic Comp Senior Claims Manager.Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financia...Show more
    Last updated: 30+ days ago • Promoted
    Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE

    Sr. Workers' Compensation Claims Specialist, Supervisor - REMOTE

    Holmes Murphy • Anaheim, CA, US
    Remote
    Full-time
    Workers' Compensation Claims Specialist, Supervisor.Workers' Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experie...Show more
    Last updated: 30+ days ago • Promoted
    Sr. Claims Specialist (Orange County)

    Sr. Claims Specialist (Orange County)

    Cooperative of American Physicians, Inc. • Orange County, CA, United States
    Full-time
    CAP seeks a Senior Claims Specialist for its Orange County office.This role involves handling technical and administrative duties to manage assigned claim files. assumes increased workload of highl...Show more
    Last updated: 4 days ago • Promoted
    Hiring for Claims Medical Malpractice Specialist in Orange, CA

    Hiring for Claims Medical Malpractice Specialist in Orange, CA

    Talent Movers • Orange, CA, United States
    Full-time
    Quick Apply
    We are Hiring for Claims Specialist in Orange, CA Full Time < / d...Show more
    Last updated: 4 days ago
    Patient Claims Specialist

    Patient Claims Specialist

    Modernizing Medicine • Anaheim, CA, US
    Full-time
    We are united in our mission to make a positive impact on healthcare.We Are Modernizing Medicine! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and ...Show more
    Last updated: 30+ days ago • Promoted
    Workers Compensation Claims Supervisor

    Workers Compensation Claims Supervisor

    Intercare Insurance • Orange, CA, US
    Full-time
    Workers' Compensation Claims Supervisor.We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA. As a Supervisor, you'll lead a team of 8, i...Show more
    Last updated: 30+ days ago • Promoted
    Senior Claims Specialist-Permanent

    Senior Claims Specialist-Permanent

    estaffing Inc • Orange, CA, United States
    Full-time +1
    Quick Apply
    MailCompose"> Job Title : Senior Claims Specialist Job Type : Full time - Onsite &l...Show more
    Last updated: 1 day ago
    Workers Compensation Claims Supervisor

    Workers Compensation Claims Supervisor

    AVONRISK • Orange, CA, US
    Full-time
    Quick Apply
    Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Orange, CA We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA.As a Su...Show more
    Last updated: 30+ days ago
    Senior Claims Specialist - Workers Compensation - CA

    Senior Claims Specialist - Workers Compensation - CA

    Crum & Forster • Orange, CA, US
    Full-time
    Crum & Forster Job Description.Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under mode...Show more
    Last updated: 30+ days ago • Promoted
    Escrow Insurance Specialist

    Escrow Insurance Specialist

    Cathay Bank - Headquarters • Rosemead, CA, United States
    Full-time
    Are you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team! At Cathay Bank - we strive to provide a caring culture that supports your aspirations and success....Show more
    Last updated: 30+ days ago • Promoted
    Claims Specialist

    Claims Specialist

    NS IT Solutions • Orange, CA, California, USA
    Full-time
    Job Description - Claims Specialist Location : Orange, CA, United States, 92859 Pay Rate : USD $110,000.Summary Our client is seeking a Claims Special...Show more
    Last updated: 5 days ago