Search for Jobs

41 Results
Liberty Mutual Insurance
Uniondale, NY, United States
9 days ago
US Drug Enforcement Administration
Sterling, VA, US
Jobs from the Web
U.S. Marine Corps
Arlington, VA, US
Jobs from the Web
National Reconnaissance Office (NRO)
Chantilly, VA, US
Jobs from the Web
Eos Energy Storage LLC
Edison, NJ, US
Jobs from the Web
US Drug Enforcement Administration
Arlington, VA, US
Jobs from the Web
BOTG Solutions Pvt. Ltd
Remote, US
Jobs from the Web
Software AG
Reston, VA, US
Jobs from the Web
North American Risk Services
Irving, TX, US
Jobs from the Web
US DHS Headquarters
Washington, DC, US
Jobs from the Web
US Office of the Assistant Secretary for Administration and Management
Washington, DC, US
Jobs from the Web
US United States Fleet Forces Command
Suffolk, VA, US
Jobs from the Web
North American Risk Services
Orlando, FL, US
Jobs from the Web
US Immediate Office of the Chief of Naval Operations
Norfolk, VA, US
Jobs from the Web
Progressive
Mayfield Village, OH, US
Jobs from the Web
ServiceTec
Denver, CO, US
Jobs from the Web
US Immediate Office of the Chief of Naval Operations
Naval Base, VA, US
Jobs from the Web
Protective Life Corporation
Birmingham, AL, US
Jobs from the Web
Caesars Entertainment
Pompano Beach, FL, US
Jobs from the Web
FDS, Inc.
Fort Worth, TX, US
Jobs from the Web
US National Institutes of Health
Durham, NC, US
Jobs from the Web
Quest Software, Inc
Las Vegas, NV, US
Jobs from the Web
US Commander, Naval Information Warfare Systems Command (NAVWARSYSCOM)
Charleston, SC, US
Jobs from the Web
Renaissance Dental
US
Jobs from the Web
1 - 25 Results of 41
Liberty Mutual Insurance
Uniondale, New York, United States
9 days ago

Description

Responsible for the investigation, evaluation and disposition of medical cases on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present moderate to high exposure or complex coverage or liability issues, under limited supervision.  Recognizes and develops countermeasures of problems of larger scope and complexity.

Responsibilities:

  • Investigates claims to determine liability, medical necessity, causality. Reviews and verifies coverage and recommends ultimate resolution on assigned cases in excess of their authority to local claims manager and Home Office.  Resolves claims within authority.  Identifies potential suspicious claims or possible third party for subrogation.
  • May be considered the office litigation coordinator and responsible for managing the practices and billing activities of outside and in-house counsel.  Accountable for security of financial processing of claims, as well as security information contained in claims files.
  • Ensures accurate reserves and settlement authority and adjusts as warranted.  Recommends reserve increases on cases in excess of authority.
  • Reviews medical records and bills to verify claimed treatment is causally related to the accident and is reasonable and necessary given facts of the claim.
  • Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.  Confers with trial counsel and prepares trial reports.
  • May assist in the absence of the Claims Team Manager.
  • Identifies and refers potentially fraudulent claims to the Special Investigation Unit.
  • May represent the company on matters involving state or federal regulatory agencies.
  • Recognizes continuous improvement opportunities and develops problem statements and countermeasures for implementation commensurate with the parameters of current assignment.
  • May be involved in special projects at the direction of local management.


Requirements

  • Advanced knowledge of coverage, medical, liability and complex claims handling procedures. Must be knowledgeable of state and federal laws in the jurisdiction in which incumbent operates.
  • A full working knowledge of claims operations and procedures is required.
  • Strong written and oral communication skills required as well as good interpersonal, analytical and negotiation skills.
  • The capabilities, skills and knowledge required is normally acquired through a Bachelor’s degree or equivalent experience and 5-7 years of directly related experience.
  • Ability to obtain proper licensing as required.

Job Information

  • Job ID: 59207632
  • Location:
    Uniondale, New York, United States
  • Company Name: Liberty Mutual Insurance
  • Position Title: Claims Medical Management
  • Industry: Claims
  • Job Function: Adjuster
  • Job Type: Full-Time
  • Job Duration: Indefinite
  • Min Education: H.S. Diploma/Equivalent
  • Min Experience: 5-7 Years
  • Required Travel: 0-10%
  • Salary: $61,700.00 - $93,800.00 (Yearly Salary)

Please refer to the company's website or job descriptions to learn more about them.

View Full Profile

Jobs You May Like
Filters
Job Function
Industry
State