DESCRIPTION & RESPONSIBILITIES

Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available for a Workers Compensation Claims Technician. Claims Technicians obtain essential information in order to process routine workers' compensation (WC) claims with typically up to twelve weeks of disability and/or on-going medical management for medical pension claims. Provides injured workers and customers with accurate timely information and quality service. Claims Technicians also identity potential problems and makes claim referral decisions. This position is used in both the Short-term Duration Unit (SDU) and Medical Pension (MP) department.

*THIS POSITION MAY BE FILLED AS A WORKERS COMPENSATION CLAIMS TECHNICIAN OR WORKERS COMPENSATION SENIOR CLAIMS TECHNICIAN AND THE SELECTED PERSON MUST LIVE IN OR NEAR BALA CYNWYD PA OR SYRACUSE NY.

RESPONSIBILITIES:

• Conduct investigation to secure essential facts from injured worker employer and providers regarding workers' compensations through telephone or written reports. Verifies information from claimants physicians and medical providers to assess c ompensability and/or causal relation of medical treatment and make evaluations for cases with typically up to twelve weeks disability and/or claim specific on-going medical management.
• Provides on-going medical and/or disability case management for assigned claims. Initiates calls to injured worker and medical provider if projected disability exceeds maximum triage model projection or to resolve medical treatment issues as needed. Maintains contact with injured worker provider and employer to ensure understanding of protocols and claims processing and/or to confirm return-to-work date or medical treatment.
• Continually assesses claim status to determine if problem cases or those exceeding protocols should be referred to Claims Service Team and/or would benefit from MP RN review or other medical /claims resources. Refers case to SDU/MP RN if light duty potential is identified at any point or for issues involving medical treatment or dispute involving disability or based on exception reports and defined departmental protocols. Arranges Independent Medical Exam and Peer Review as necessary. Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes; documents results of contacts relevant medical reports and duration information per file posting standards including making appropriate medical information viewable to customers in Electronic Document Management (EDM). Generates form letters following set guidelines (i.e. letters to physicians projecting disability letters confirming medical treatment and disability and letters outlining expected outcome to employers).
• Authorizes payment of weekly benefits medical payments and/or medical treatment.
• Recognizes potential subrogation cases prepares cases for subrogation and refers these cases to the Subrogation Units.

QUALIFICATIONS

• High school diploma plus 1-3 years' of related customer service experience or applicable insurance knowledge.
• Licensing required in some states.
• Effective analytical skills required to learn and apply basic policy/contract coverage and recognize questionable coverage/contract situations (which necessitate supervisory involvement) along with effective interpersonal skills to explain the facts and logic used to arrive at decisions in a way that the customer understands.
• Effective written skills to compose clear succinct descriptions when posting files and drafting correspondence.
• Good telephone and typing skills required.
• Ability to learn when to make proper use of medical management resources know when to use them and follow through with medical management information received.

FEATURED BENEFITS

HERE’S SOME OF WHAT YOU CAN LOOK FORWARD TO AS ONE OF OUR EMPLOYEES.

Competitive Compensation Our compensation programs are designed to deliver above-market pay if you perform well and significantly above that for exceptional performance over time. Virtually every employee is eligible for some type of variable incentive pay in addition to his or her base pay.

Flexible Work Arrangements We understand the role work-life balance plays in your ability to stay energized and engaged. So we place an emphasis on regular hours flex scheduling and generous time off through paid holidays vacation days and more.

Top-Notch Retirement Plans Our pension plan provides a monthly credit equal to 5% of your eligible compensation. You can also participate in our 401(k) plan which offers a guaranteed match of $0.50 for every $1 you contribute up to 8% of your eligible pay.

Career Development From regular coaching planning to paid training licensing and 100% tuition reimbursement for approved courses we’re dedicated to your continued growth because we know it leads to continued success.

Health & Wellness You’ll have access to comprehensive health dental and vision coverage as well as a host of other insurance and wellness benefits-including progressive parental benefits and support.

WHY LIBERTY MUTUAL?

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” onIDG’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.

Liberty Mutual offers a wide range of insurance products and services, including personal automobile, homeowners, specialty lines, reinsurance, commercial multiple-peril, workers compensation, commercial automobile, general liability, surety, and commercial property.