Senior Workers Compensation Claims Technician - Medical Only

Company: Liberty Mutual Insurance
Location: Hoffman Estates
Posted on: May 13, 2022

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