Claims Quality Assurance Specialist – No Fault and MedPay
Claims Quality Assurance Specialist - No Fault and MedPay - New Castle, PA
Liberty Mutual Insurance
“Helping people live safer, more secure lives” since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and third largest property and casualty insurer in the U.S. based on A.M. Best Company’s report of 2010 net written premium. Liberty Mutual also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of December 31, 2010, Liberty Mutual had $112.4 billion in consolidated assets, $95.4 billion in consolidated liabilities, and $33.2 billion in annual consolidated revenue.
Liberty Mutual Insurance offers a wide range of insurance products and services, including personal automobile, homeowners, workers compensation, property, commercial automobile, general liability, global specialty, group disability, reinsurance and surety.
Liberty Mutual Insurance (www.libertymutual.com) employs over 45,000 people in more than 900 offices throughout the world.
Advance your Claims career at Liberty Mutual - A Fortune 100 Company!
Are you looking for an opportunity to join a claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available.
As a Liability Claims Specialist, you will help people resolve problems and live safer more secure lives. You will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company. We offer variety in your position - in the people you interact with and the cases you handle. As part of a traveling claims file review team, visits Personal Market branch offices to examine all aspects of claims files specific to assigned product area (e.g. Bodily Injury, Property, and Physical Damage). In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.
Responsibilities:
In this Claims Specialist role you will:
- Reviews and analyzes files to determine compliance with claims handling standards.
- Uses database and tools to determine appropriate loss payment and identify sources of leakage.
- Participates in calibration of quality assurance team.
- Performs vehicle re-inspections in the field.
- Assess policy coverage, contact insured, determine and establish reserve requirements.
- Review and set-up claims in the tracking system and describe the loss to reflect actual circumstances.
- Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability and damages of claims.
- Determine need for independent adjusters, cause and origin experts and independent medical examiners.
- Evaluate claim for potential fraud.
- Assess actual damages associated with claims and conduct negotiations to settle claims.
- May be involved with litigation as necessary.
Qualifications:
- Thorough knowledge of insurance coverages, contracts claims handling guidelines.
- Experience with auto liability encompassing injury and property losses.
- Experience with litigated claims.
- Ability to analyze variables, such as medical records and legal documentation.
- Ability to communicate effectively with people from all backgrounds and uphold our high standard of customer service.
- Negotiation and settlement skills.
- Bachelors degree preferred, continuing insurance education desired.
- Hard work, honesty, integrity and unwavering business ethics.
- Detail-oriented organizational skills in a multi-tasking environment.
- Success driven individual who has demonstrated success in a claims adjusting role.
Benefits:
We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following:
- 401K and Company paid pension plan
- Medical coverage
- Dental coverage
- Paid time-off
- Pay-for-Performance
- Discounts on automobile and homeowner's insurance
- Discount fitness memberships
- Flexible spending accounts
- Tuition reimbursement
- Vision care coverage
- Work/Life resources
- Credit Union membership
- Employee and Dependent life insurance
- Disability insurance
- Long-term care insurance
Overview:
We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.
We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.
We believe our employees take pride in knowing that they help people live safer more secure lives everyday.
Additional Information:
- Travel Percentage: 25%
