Workers Compensation Claims Technician, Medical Only
About the position Liberty Mutual Insurance is seeking a Workers Compensation Claims Technician (Medical Only) to join our dynamic claims team. This role is pivotal in processing routine workers' compensation claims, particularly those involving ongoing medical management for medical pension claims. As a Claims Technician, you will be responsible for obtaining essential information from injured workers, employers, and medical providers to ensure accurate and timely processing of claims. You will provide quality service to injured workers and customers, ensuring they receive the necessary support throughout the claims process. Additionally, you will identify potential problems and make informed claim referral decisions to enhance the efficiency of our claims handling process. In this position, you will conduct thorough investigations to secure essential facts regarding workers' compensation claims. This includes verifying information from claimants, physicians, and medical providers to assess the compensability and causal relationship of medical treatment. You will also be responsible for ongoing medical case management for assigned claims, initiating calls to injured workers and medical providers when projected disabilities exceed maximum triage model projections or to resolve any medical treatment issues that may arise. Maintaining contact with all parties involved is crucial to ensure a clear understanding of protocols and claims processing. Your role will also involve continually assessing claim statuses to determine if any cases require referral to the Claims Service Team or would benefit from additional medical review resources. You will arrange Independent Medical Exams and Peer Reviews as necessary, ensuring that all claims are handled with the Apply Job!