Associate Claims Adjuster, Workers Compensation

About the Role

This position follows a hybrid work model. Candidates residing within 50 miles of a Liberty Mutual office in Lake Oswego, OR; Las Vegas, NV; or Chandler, AZ will be required to work from the office two times per month. Candidates located in California will be designated as fully remote. The Workers Compensation Claims Specialist works within a Claims Team under direct supervision and develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability/compensability, evaluate losses, negotiate settlements, and manage an inventory of commercial property/casualty and disability claims.

Key Responsibilities

• Investigates new claims by reviewing first reports of loss and supporting materials.
• Determines the best first point of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss.
• Refers tasks to auxiliary units as necessary and posts file accordingly.
• Establishes action plans based on case facts, best practices, protocols, jurisdictional issues, and available resources.
• Manages an inventory of workers compensation claims, evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.
• Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.
• Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.
• Responsible for review, analysis, and disposition of assigned claims within authority limits and state compliance.
• Updates file, strategizes, and executes plans to mitigate exposure and increase disposal.

Requirements & Tech Stack

The following are helpful but not mandatory:

• Knowledge of legal liability, insurance coverage, and medical terminology.
• Licensing may be required in some states.

Qualifications

• 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.

Assessment: As part of the application process, you'll complete an assessment related to the skills needed for this role (approximately 35 minutes, no time limit).