APPLY NOW: Technical Claims Spec Liberty Mutual, WC

Technical Claims Spec Liberty Mutual, WC

Determining the salary range for a particular role involves a multifaceted approach, considering various factors such as skills, experience, education, certifications and geographical location. At Liberty Mutual, the salary range for roles reflects the competitive labor market value across the national spectrum, providing room for progression as employees develop within their positions.

Some roles within the company, including those involved in Workers Compensation claims handling, may entail additional compensation components such as commission and bonuses, subject to the specifics outlined in the corresponding compensation plan.

Within the framework of established practices and under limited supervision, individuals in roles involving Complex Workers Compensation claims handling at Liberty Mutual are tasked with investigating, evaluating and resolving cases characterized by high exposure and severity. These professionals apply well-established medical management strategies to manage claims of considerable financial magnitude.

With a deep understanding of Workers Compensation claims handling techniques, comprehensive knowledge of Liberty Mutual Group (LMG) claims procedures and awareness of emerging industry trends, they utilize available data to monitor claims trends and other relevant metrics.

Responsibilities

The primary responsibilities of individuals handling Complex Workers Compensation claims encompass several critical tasks:

  1. Investigating claims to ascertain coverage, establish compensability and assess exposure.
  2. Resolving claims within authorized limits and providing recommendations on case value and resolution strategy to Branch Office Management and Headquarters (HO) Examining on cases exceeding authorized limits.
  3. Participating in pricing, reserving and strategy discussions with HO Examining and Examining Management.
  4. Collaborating closely with internal staff and external defense counsel to manage litigated files in accordance with established protocols.
  5. Identifying and appropriately addressing suspicious claims and those with potential adverse developments.
  6. Managing claims with third-party subrogation potential, State Insurance Fund (SIF) and Medicare Set-Aside (MSA) exposure.
  7. Establishing and maintaining accurate reserves on all assigned files, with timely reserve recommendations for cases exceeding authorized limits.
  8. Participating in mediation sessions, settlement conferences and negotiations on behalf of LMG and LMG Insureds.
  9. Demonstrating proficiency in understanding new and unique exposures and coverages, as well as key data elements and claims-related data analysis.
  10. Engaging directly with policyholders to address coverage and resolution strategy issues.
  11. Facilitating and participating in training sessions for less experienced staff, encompassing both Complex and non-Complex claims handling.

Qualifications

Individuals aspiring to roles in Complex Workers Compensation claims handling at Liberty Mutual are expected to meet the following qualifications:

  1. A Bachelor’s degree or equivalent business experience is required.
  2. Generally, candidates should possess 5-7 years of related claims experience, including 1-2 years specifically in handling complex claims.
  3. Proficiency in Excel, PowerPoint and excellent written and verbal communication skills are essential.

At Liberty Mutual, the overarching purpose is to empower individuals to embrace the present and confidently pursue the future. The company fosters an environment centered on openness, inclusion, trust and respect, offering a diverse array of roles aimed at transforming passion into fulfilling careers.

Liberty Mutual has consistently been recognized for its commitment to fostering a positive workplace environment:

  • Recognized as a “Great Place to Work” by Great Place to Work® US for multiple years.
  • Selected as one of the “100 Best Places to Work in IT” on IDG’s Insider Pro and Computerworld’s 2020 list.
  • Named by Forbes as one of America’s Best Employers for Women, America’s Best Employers for New Graduates and America’s Best Employers for Diversity.
  • Committed to diversity and inclusion, as evidenced by the company’s initiatives and policies 
  • Liberty Mutual values the dedication, integrity and commitment of its employees and prioritizes their well-being by offering comprehensive benefits and support.

The compensation structure and responsibilities associated with Complex Workers Compensation claims handling at Liberty Mutual underscore the company’s commitment to providing competitive remuneration and opportunities for professional growth.

By attracting and retaining talented individuals who embody the company’s values, Liberty Mutual continues to uphold its reputation as an employer of choice, fostering an inclusive and supportive workplace environment.

FAQ

What factors determine the typical starting salary range for roles at Liberty Mutual?

The typical starting salary range for roles at Liberty Mutual is determined by several factors, including the candidate’s skills, experience, education, certifications and geographical location.

What additional compensation components might be included in some roles at Liberty Mutual?

Some roles at Liberty Mutual, including those involved in Workers Compensation claims handling, may include additional compensation components such as commission and bonuses. The rates of these components can vary based on multiple factors outlined in the corresponding compensation plan for each role.

What are the primary responsibilities of individuals handling Complex Workers Compensation claims at Liberty Mutual?

Individuals handling Complex Workers Compensation claims at Liberty Mutual are responsible for investigating, evaluating and resolving cases characterized by high exposure and severity. They also apply established medical management strategies and monitor claims trends and metrics.

How do individuals in these roles resolve claims within authorized limits?

Individuals in roles involving Complex Workers Compensation claims handling at Liberty Mutual resolve claims within authorized limits by assessing case value and resolution strategy, making recommendations to Branch Office Management and Headquarters (HO) Examining on cases exceeding authorized limits and participating in pricing, reserving and strategy discussions.

How does Liberty Mutual handle litigated files in Workers Compensation claims?

Liberty Mutual manages litigated files in Workers Compensation claims by collaborating closely with internal staff and external defense counsel, adhering to established litigation management protocols and participating in mediation sessions, settlement conferences and negotiations on behalf of LMG and LMG Insureds.

What measures are taken to identify and address suspicious claims and those with potential adverse developments?

Liberty Mutual identifies and addresses suspicious claims and those with potential adverse developments by implementing appropriate handling procedures, such as establishing accurate reserves on all assigned files, making timely reserve recommendations for cases exceeding authorized limits and managing claims with third-party subrogation potential, State Insurance Fund (SIF) and Medicare Set-Aside (MSA) exposure.

How does Liberty Mutual support the professional development of its employees in Workers Compensation claims handling?

Liberty Mutual supports the professional development of its employees in Workers Compensation claims handling by facilitating training sessions for both Complex and non-Complex claims handling, providing opportunities for skill enhancement and career advancement.

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