Senior Workers Compensation Claims Technician - Medical Only
Company: Liberty Mutual Insurance
Location: Hoffman Estates
Posted on: May 13, 2022
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Job 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 (Medical Only). Claims Technicians obtain essential
information in order to process routine workers' compensation (WC)
claims with ongoing medical management. Provides injured workers
and our dedicated customer with accurate, timely information and
quality service. Claims Technicians also identity potential
problems and makes claim referral decisions.GRS North America
Claims is excited to announce our go forward strategy to provide
employees with the flexibility to include an option to work from
home full-time. Candidates who are selected for this position will
be trained remotely and should reside within a reasonable commute
of our Hoffman Estates, IL and Indianapolis, IN
offices.Responsibilities:Conduct investigation to secure essential
facts from injured worker, employer and providers regarding
workers' compensation claims through telephone or written reports.
Verifies information from injured workers, and medical providers to
assess compensability and/or causal relation of medical treatment,
and makes evaluations for cases with claim specific ongoing medical
management.Provides proactive ongoing medical case management to
promote injured worker recovery and return to pre-injury status.
Initiates calls and/or emails to injured worker and medical
provider if projected disability exceeds disability guidelines or
to resolve medical treatment issues. Maintains contact with injured
worker, provider and dedicated customer to ensure understanding of
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, RN review or other
medical /claims resources.Maintains accurate records and handles
administrative responsibilities associated with processing and
payment of claims. Documents injured worker's medical and
disability progress by recording updated medical reports and
results of contacts with injured worker and our dedicated customer.
Provides timely medical and disability / work status updates to our
customer by phone and/or email, collaborating to address any issues
or concerns that arise. 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 employer).Authorizes payment of
medical bills and/or medical treatment.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.Claims adjusting Licensing required in some
states.Effective analytical skills along with effective
interpersonal skills to explain the facts and logic used to arrive
at decisions in a way that the customer understands.Effective
written skills to compose clear, succinct descriptions when posting
files and drafting correspondence.Strong time-management skills
with a desire to work in a fast-paced, customer-facing
environment.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:
https://jobs.libertymutualgroup.com/diversity-inclusionWe value
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.9
Keywords: Liberty Mutual Insurance, Hoffman Estates , Senior Workers Compensation Claims Technician - Medical Only, Healthcare , Hoffman Estates, Illinois
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