Workers Compensation Senior Inside Claims Representative Job in Portland 97232, Oregon US
Workers Compensation Senior Inside Claims Representative
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 career at Liberty Mutual - A Fortune 100 Company!
"Helping people live safer, more secure lives" since 1912, Boston-based Liberty Mutual Insurance is a diversified global insurer and the 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 Insurance also ranks 82nd on the Fortune 100 list of largest corporations in the U.S. based on 2010 revenue. As of December 31, 2011, Liberty Mutual Insurance had $117.1 billion in consolidated assets, $99.3 billion in consolidated liabilities, and $34.7 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.libertymutualinsurance.com) employs over 45,000 people in more than 900 offices throughout the world.
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 has an excellent claims opportunity available.
As a Workers Compensation Senior Inside Claims Representative, you will help people resolve problems and live safer more secure lives. Under moderate supervision you will obtain information essential to processing pension Workers' Compensation (WC) claims for multiple jurisdictions. You will provide injured workers, beneficiaries and customers with accurate, timely information, quality service and identify potential problems to make claim referral decisions.
Responsibilities:
- Process fatality benefits, including burial, spousal and dependent benefits based on jurisdictional requirements.
- Provide ongoing medical and/or disability management for assigned permanent total disability and long-term medical management claims. Initiates calls to injured worker and medical provider to resolve medical treatment issues as needed.
- Continually assesses claim status to determine if problem cases or those exceeding protocols should be referred for evaluation by a complex claims case manager and/or would benefit from, nurse case manager review or other medical/claims resources.
- 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. Generates form letters following set guidelines (i.e., letters confirming medical treatment/disability and letters outlining expected outcome).
- Authorizes and/or issues payment of biweekly and monthly benefits, medical payments and/or medical treatment within assigned authority levels. Calculates annual increases as needed.
- Recognizes potential subrogation cases, prepares cases for subrogation and refers these cases to the Subrogation Units.
- Performs other duties as assigned.
Qualifications:
- High school diploma required. Bachelor's degree preferred.
- 3+ years 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 understand.
- Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence.
- Good telephone and typing skills required.
- Ability to learn/follow state-specific regulations, recognizes when appropriate to use medical management resources, and know when to use them and follow through with medical information received.
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.
Responsibility. What's your policy?
