Claims Technician, Workers Compensation - Central Region

at  Liberty Mutual

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!
Claims Technicians obtain essential information to process routine workers’ compensation claims with ongoing medical management for medical pension claims. They provide injured workers and customers with accurate, timely information and quality service. Claims Technicians also identify potential problems and make claim referral decisions.

• Conduct investigation to secure essential facts from injured workers, employers, 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 ongoing medical management.
• Provides ongoing medical case management for assigned claims.
• Initiates calls to injured workers and medical providers 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 the Claims Service Team and/or would benefit from, MP RN review or other medical /claims resources.
• Arranges Independent Medical Exams and Peer Reviews 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 outcomes to employers)