Workers' Compensation Claims Technician
Company: Liberty Mutual Insurance
Location: East Syracuse
Posted on: January 16, 2022
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 (WC) claims with
typically up to twelve weeks of disability and/or on-going medical
management for medical pension claims. Provides injured workers and
customers with accurate, timely information and quality service.
Claims Technicians also identity potential problems and makes claim
referral decisions. This position is used in both the Short-term
Duration Unit (SDU) and Medical Pension (MP) department.
- This position may be filled as a Workers Compensation Claims
Technician or Workers Compensation Senior Claims Technician, and
the selected person must live in or near Bala Cynwyd, PA or
- 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 typically up to twelve weeks
disability and/or claim specific on-going medical management.
- Provides on-going medical and/or disability 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/or to
confirm return-to-work date or 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. Refers case to SDU/MP RN if light duty potential
is identified at any point or for issues involving medical
treatment or dispute involving disability or based on exception
reports and defined departmental protocols. 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 weekly benefits, medical payments and/or
- Recognizes potential subrogation cases, prepares cases for
subrogation and refers 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 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
- 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.At Liberty Mutual, our purpose is
to help people embrace today and confidently pursue tomorrow.
That's why we provide an environment focused on openness,
inclusion, trust and respect. Here, you'll discover our expansive
range of roles, and a workplace where we aim to help turn your
passion into a rewarding profession.Liberty Mutual has proudly been
recognized as a "Great Place to Work" by Great Place to Work - US
for the past several years. We were also selected as one of the
"100 Best Places to Work in IT" on IDG's Insider Pro and
Computerworld's 2020 list. For many years running, we have been
named by Forbes as one of America's Best Employers for Women and
one of America's Best Employers for New Graduates-as well as one of
America's Best Employers for Diversity. To learn more about our
commitment to diversity and inclusion please visit:
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/BenefitsLiberty 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.
Keywords: Liberty Mutual Insurance, Syracuse , Workers' Compensation Claims Technician, Professions , East Syracuse, New York
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