Senior Technical Claims Specialist, Workers Compensation

Description

Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist, Workers Compensation position.  In this role, under minimal supervision and established practices, you will responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity.  The Senior Technical Claims Specialist, Workers Compensation employs unique and creative disposition and medical management strategies on high dollar complex claims, and has developed an advanced knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and continuously reviews the industry for new trends and claim handling techniques.

  The selected candidate must reside within the Northeast Territory based on customer needs. 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 and HO Examining on cases which exceed authority.
• Participates and where appropriate leads, pricing, reserving and strategy discussions with HO Examining and Examining Management.
• Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
• Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely.
• Identifies and appropriately handles claims with third party subrogation potential, SIF and MSA exposure.
• Establishes and maintains accurate reserves on all assigned files.
• Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
• Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
• Serves as a representative of the Claims Department when prospecting potential customers, at industry meetings, and company sponsored events.
• Demonstrates the ability to provide direction and expertise to internal and external sources for new and unique exposures and coverages.
• Demonstrates the ability to capture, extract and analyze data specific to existing and emerging risk. Can make and implement recommendations related to said 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.
• Conducts training sessions for less experienced staff and on individual claims, may serve in a consultative capacity.
• Serves as a back up for the Director of Complex WC when necessary.

Qualifications

• A Bachelor's degree or equivalent business experience is required
• In addition, the candidate will generally possess 7-9 years of related claims experience with 2-3 years of experience in complex Workers Compensation claims
• Demonstrates expertise in verbal and written communication skills as well as proficiency in Excel and PowerPoint
• Previous Claims management experience beneficial