Claims Specialist
| Company | Liberty Mutual |
|---|---|
| Location | Boston, MA, USA, Plano, TX, USA, Hoffman Estates, IL, USA, Suwanee, GA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Junior, Mid 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
- Performs other duties as assigned
Preferred Qualifications
- Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU)