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Claims Specialist

Claims Specialist

CompanyLiberty Mutual
LocationBoston, MA, USA, Indianapolis, IN, USA, Tampa, FL, USA, Plano, TX, USA, Hoffman Estates, IL, USA, Ardmore, PA, USA, Suwanee, GA, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s
Experience LevelMid Level

Requirements

  • BS/BA degree or equivalent work experience
  • Minimum of 2 years experience in claims adjustment, general insurance or formal claims training
  • Required to obtain and maintain all applicable licenses
  • Knowledge of claims investigation techniques, medical terminology and legal aspects of claims

Responsibilities

  • Manages an inventory of claims to evaluate compensability/liability
  • Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources
  • Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages
  • 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, refers claims to the subrogation group or Special Investigations Unit as appropriate
  • Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims
  • Independently investigates, evaluates and negotiates 3rd party liability settlements with Attorney involvement
  • Performs other duties as assigned.

Preferred Qualifications

  • Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU)