小商业工伤资深索赔专家
Senior Claims Specialist, Workers Compensation - Small Commercial
描述 ***CA,OR,NV 和/或纽约工人赔偿索赔经验是最好但不必需的。**** 在中心位置50英里内居住的候选人将受到办公室要求。这是根据经验和资格的13-14级范围分类。高级索赔专家在索赔团队中工作，使用最新技术审查，分析和处理索赔，通常被特征为适度复杂到复杂在分配权限范围内。资产权管理人员可以在公司的业务中进行监督，并提供相关信息。此类服务包括对责任/赔偿能力的决定，评估损失，谈判和解和管理涉及身体伤害或财产损失的商业财产/损失索赔库存。高级索赔专家还可协助索赔团队经理将新索赔分配给团队成员，提供技术指导和监测案件负担。责任：· 规划和进行索赔调查 （包括采访保险人，证人和索赔者，收集和评估适当的文档以及确保证据并保护监护链等活动）,以分析和确认覆盖范围，确定责任，抵偿性和损失；确定需要独立调整员，原因和起源专家和独立医疗检查人员，并聘用。根据情况向代购组或特别调查部门提交索赔。· 评估提出索赔政策覆盖范围并通知保险人任何问题；在处理索赔期间确定和制定储备要求，根据需要调整储备。· 评估与索赔相关的实际损害并在分配权限范围内进行谈判来解决索赔。·协调与分配索赔有关的诉讼活动以确保及时有效的解决；作为公司代表参加审判。·担任团队高级技术专业人员，协助团队成员解决升级问题。指导和培训新团队成员。参与质量审查过程。· 参与起诉委员会，圆桌会议，仲裁，调解和实地调查，并可能协助进行封闭档案审查。· 履行其他任务。资格 · 与客户沟通和谈判的卓越的人际技能以及对需要进行调查的领导能力和时间管理。
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Description
***CA, OR, NV and/or NY workers' compensation claims experience are preferred but not required. ****
Candidates residing within 50 miles of a hub location will be subject to in-office requirements.
This is a grade 13-14 range posting depending on experience and qualifications.
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:
- 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.
- 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.
- Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
- Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process.
- Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
- Performs other duties as assigned.
Qualifications
· Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
- Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively.
- Demonstrates an expert level 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 4 to 6 years directly related work experience (at least two of which should ordinarily be in a team leader capacity).
- Licensing required in some states.
About UsPay Philosophy: 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.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
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:
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.
Fair Chance Notices
- California
- Los Angeles Incorporated
- Los Angeles Unincorporated
- Philadelphia
- San Francisco
Originally posted on Himalayas