Associate Claims Specialist - Workers Compensation - Northeast Region
WFA Digital Insight
The demand for skilled claims specialists has grown significantly, with a 25% increase in job openings over the past year. As companies like Liberty Mutual continue to expand their remote workforces, professionals with strong analytical and interpersonal skills are in high demand. With a strong focus on employee development and inclusion, Liberty Mutual stands out as an attractive employer in the insurance industry. Before applying, candidates should be aware that this role requires a unique blend of technical knowledge and soft skills, as well as the ability to work independently in a remote setting.
Job Description
About the Role
As an Associate Claims Specialist at Liberty Mutual, you will play a critical role in managing workers' compensation claims and ensuring that injured workers receive the support they need to recover and return to work. This role is an excellent opportunity for professionals looking to develop their analytical and negotiation skills in a dynamic and supportive environment. You will be part of a team that values collaboration, creativity, and customer satisfaction.The Associate Claims Specialist role is a key component of Liberty Mutual's commitment to delivering exceptional service to its customers. By joining this team, you will have the opportunity to work with a talented group of professionals who are dedicated to making a positive impact on people's lives. The role is remote, with occasional travel to the Plano, TX office for training.
What You Will Do
- Manage a caseload of routine to moderately complex claims, making key decisions on compensability, evaluating losses, and negotiating fair outcomes.
- Collaborate closely with claimants, policyholders, attorneys, and partners throughout the claim lifecycle.
- Conduct investigations of claims to confirm coverage and determine liability, compensability, and damages.
- Assess policy coverage for submitted claims and notify the insured of any issues.
- Determine and establish reserve requirements, adjusting reserves as necessary during the processing of claims.
- Refer claims to the subrogation group or Special Investigations Unit as appropriate.
- Assess actual damages associated with claims and conduct negotiations within assigned authority limits to settle claims.
- Provide information in a clear, concise manner with an appropriate level of detail.
- Build and maintain effective relationships with internal and external stakeholders.
- Perform other duties as assigned.
What We Are Looking For
- Effective interpersonal, analytical, and negotiation abilities.
- Ability to provide information in a clear, concise manner with an appropriate level of detail.
- Demonstrated ability to build and maintain effective relationships.
- Demonstrated success in a professional environment; success in a customer service/retail environment preferred.
- Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent.
- Knowledge of legal liability, insurance coverage, and medical terminology helpful, but not mandatory.
- Licensing may be required in some states.
Nice to Have
- Experience in workers' compensation claims or a related field.
- Knowledge of insurance laws and regulations.
- Familiarity with claims management software.
- Certification in a related field, such as workers' compensation or insurance.
Benefits and Perks
- Competitive salary range reflective of the national market.
- Comprehensive benefits package, including health, dental, and vision insurance.
- 401(k) plan with company match.
- Paid time off and holidays.
- Remote work arrangement with flexible scheduling.
- Opportunities for professional development and growth.
How to Stand Out
- Be prepared to showcase your analytical and negotiation skills in the application and interview process.
- Familiarize yourself with workers' compensation laws and regulations in the Northeast region.
- Develop a strong understanding of insurance coverage and policy terms.
- Highlight your ability to build and maintain effective relationships with internal and external stakeholders.
- Be prepared to discuss your experience with claims management software and technology.
- Show enthusiasm for working in a remote environment and willingness to adapt to new technologies and processes.
- Research Liberty Mutual's company culture and values to demonstrate your alignment with the organization's mission.
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