Senior Workers Compensation Claims Specialist I/Ii- Eberle Vivian

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.

The Senior Workers Compensation Claims Specialist on the Helmsman/Eberle Vivian team works using the latest technology to manage an assigned caseload of routine to mild to moderately complex Workers Compensation claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability and evaluating losses. The role interacts with injured workers, self-insured employers, medical providers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.

This position may be filled as a Senior Claims Specialist I, Senior Claims Specialist II.

Senior Claims Specialist I- $72,300-$113,600. Annual FTO days( Flexible Time Off): 15 days

Seniors Claims Specialist II- $79,800- $127,700. Annual FTO days ( Flexible Time Off): 15 days

The preferred location for the selected candidate is within a commutable distance from the Kent WA Bala Cynwyd, office but will consider remote candidates.

Washington Self-Insured Certification Required

Responsibilities:

• Manages an inventory of workers compensation claims to evaluate compensability/liability.
• Plans and conducts investigations of claims to confirm coverage and compensability.
• Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
• Performs other duties as assigned.
• Assesses statutory compensability for submitted claims and notifies the self- insured employer of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

The Senior Claims Specialist works 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. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.

Responsibilities:

• 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.
• Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
• Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process.
• Performs other duties as assigned.
• Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
• 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.

• Required to obtain and maintain all applicable licenses.Continuing education courses leading to industry certifications preferred (e.g., WA Self-Insurance Certification, AEI, IIA, CPCU).
• 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) plus 3 to 5 years directly related work experience.
• Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
• Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.

At Liberty Mutual, our purpose is to help people embrace today and confidently pursue tomorrow. That's why we provide an environment focused on openness, inclusion, trust and respect. Here, you'll discover our expansive range of roles, and a workplace where we aim to help turn your passion into a rewarding profession.

Liberty Mutual has proudly been recognized as a "Great Place to Work" by Great Place to Work® US for the past several years. We were also selected as one of the "100 Best Places to Work in IT" on IDG's Insider Pro and Computerworld's 2020 list. For many years running, we have been named by Forbes as one of America's Best Employers for Women and one of America's Best Employers for New Graduates as well as one of America's Best Employers for Diversity. To learn more about our commitment to diversity and inclusion please visit: https://jobs.libertymutualgroup.com/diversity-inclusion

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: https://LMI.co/Benefits

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.