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Workers Compensation Claims Technician, Medical Only - Military Veterans

at Liberty Mutual Insurance Group

Pay 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.


Description

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 (Medical Only). Claims Technicians obtain essential information in order to process routine workers' compensation (WC) claims with on-going medical management for medical pension claims. Provides injured workers and customers with accurate, timely information and quality service. Claims Technicians also identify potential problems and make claim referral decisions. 

 

This position may be filled as a Workers Compensation Claims Technician or Workers Compensation Senior Claims Technician.

 

The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region. 

 

GRS North America Claims is excited to announce our go forward strategy to provide employees with the flexibility to include an option to work from home full-time. Candidates who are selected for this position will be trained remotely.

 

You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Rocklin, CA, or Las Vegas, NV or Chandler, AZ or Lake Oswego, OR.  Please note this policy is subject to change.

 

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 compensability and/or causal relation of medical treatment, and make evaluations for cases with claim specific on-going medical management.

  • Provides on-going medical 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 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. 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 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.

About Us

This position may have in-office requirements depending on candidate location.

 

As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally. 

 

At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.

 

We are proud to support a diverse, equitable and inclusive workplace, where all 45,000 employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.

 

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.

Fair Chance Notices


  • California

  • San Francisco

  • Los Angeles

  • Philadelphia

 

Las Vegas, NV

Liberty Mutual Insurance Group

At Liberty Mutual, we're proud to support these military service members and veterans who protect our communities, as well as their families. And we recognize the unique abilities this highly regarded group of individuals brings to our organization. More than 400,000 service members enter the civilian workforce each year, and we celebrate all they have to offer with benefits and programs that help them build fulfilling careers. That's why we have been consistently named a top workplace for veterans and military personnel year over year. Our benefits range from 30 days of paid military leave for our Guard and Reserve members to our military specific Employee Resource Group, Valor, which has over 3,000 members and offers 1-to-1 mentorship, and more.

At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people and businesses embrace today and confidently pursue tomorrow.

In business since 1912, and headquartered in Boston, today we are the sixth largest global property and casualty insurer based on 2020 gross written premium. We also rank 78 on the Fortune 100 list of largest corporations in the US based on 2021 revenue. As of December 31, 2021, we had $48.2 billion in annual consolidated revenue.

We employ over 45,000 people in 29 countries and economies around the world. We offer 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.

For more information, visit www.libertymutualinsurance.com.

Belief

  • We believe progress happens when people feel secure.
  • Our belief represents the driving convictions we have about people and the world.

Purpose

  • We exist to help people embrace today and confidently pursue tomorrow.
  • Our purpose serves as the organizational North Star that defines and guides everything we do.

Promise

  • We promise protection for the unexpected, delivered with care.
  • Our promise describes what we do and how we do it differently.

Benefits

Passion has its benefits. At Liberty Mutual, we value your hard work, integrity and commitment to make things better. And it is our privilege to offer you benefits that support your life and well-being.

  • Health
  • Health Savings Account (HSA)
  • DentalVisionDisability Insurance (both short- and long-term)
  • Life Insurance (for you and your family)
  • Accidental Death and Dismemberment Insurance
  • Dependent Care Flexible Spending Account
  • Employee Assistance Plan (EAP), including dependent care resources
  • Retirement Benefit (pension) Plan
  • 401(k) Savings Plan with Company Match
  • Other valuable benefits
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