Workers' Claims Technician

We are looking for a Workers' Compensation Claims Technician to join our claims team at Liberty Mutual Insurance
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Base pay: $37,000.00/yr - $69,000.00/yr (may vary by skill and experience).

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. Claims Technicians obtain essential information in order to process routine workers’ compensation claims with on‑going medical management for medical pension claims. They provide injured workers and customers with accurate, timely information and quality service, and they identify potential problems and make claim referral decisions.

GRS North America Claims is excited to announce a forward strategy to provide employees with the flexibility to work from home full‑time. Selected candidates will be trained remotely.

You will be required to go into the office twice a month if you reside within 50 miles of a specified office. Please note this policy is subject to change.

• Conduct investigations to secure essential facts from injured workers, employers, and providers regarding workers’ compensation through telephone or written reports. Verify 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.
• Provide on‑going medical case management for assigned claims. Initiate calls to injured workers and medical providers if projected disability exceeds maximum triage model projection or to resolve medical treatment issues as needed. Maintain contact with injured workers, providers, and employers to ensure understanding of protocols and claims processing and medical treatment.
• Continuously assess claim status to determine if problem cases or those exceeding protocols should be referred to the Claims Service Team and/or would benefit from MP RN review or other medical/claims resources. Arrange Independent Medical Exams and Peer Reviews as necessary.
• Maintain accurate records and handle administrative responsibilities associated with processing and payment of claims. Record and update status notes; document 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). Generate form letters following set guidelines (e.g., letters to physicians projecting disability, letters confirming medical treatment and disability, and letters outlining expected outcome to employers).
• Authorize payment of medical payments and/or medical treatment.
• Recognize potential subrogation cases, prepare cases for subrogation, and refer these cases to the Subrogation Units.

• High school diploma plus 1‑3 years of related customer service experience or applicable insurance knowledge.
• Licensing required in some states.
• Effective analytical skills 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 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.

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. Some roles at Liberty…