Workers Compensation Complex Claims Specialist NY

Pay PhilosophyThe 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.

Description 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.

This is a range posting and may be filled as a WC Technical Claims Specialist I, WC Technical Claims Spec II, or Sr. Technical Specialist. The salary range posted reflects the range for the varying pay scale depending on prior experience related to the role.

Responsibilities

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.

QualificationsA Bachelors degree or equivalent business experience is requiredIn addition, the candidate will generally posses 3-5 years of related claims experienceProficient in use of Excel and PowerPointEffective written and verbal communication skills required

About UsAt 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.
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