We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Conduct investigation to secure essential facts from injured worker, employer 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 on-going medical management. Provides on-going medical case management for assigned claims. Initiates calls to injured worker and medical provider 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 Claims Service Team and/or would benefit from, MP RN review or other medical /claims resources. Arranges Independent Medical Exam and Peer Review as necessary. Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims. Records and updates status notes; documents result 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 outcome to employers). Authorizes payment of medical payments 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. Licensing may be required in some jurisdictions Effective written skills to compose clear, succinct descriptions when posting files and drafting correspondence. 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.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618520695537", "isPrivate": false, "latlongs": "38.7907339,-121.2357828"}, {"id": 618520568265, "name": "APD - Rideshare Commercial Claims Auto Physical Damage Adjuster", "posting_name": "APD - Rideshare Commercial Claims Auto Physical Damage Adjuster", "location": "Plano, Texas, United States", "locations": ["Plano, Texas, United States", "Boston, Massachusetts, United States", "Las Vegas, Nevada, United States", "Suwanee, Georgia, United States", "Chandler, Arizona, United States", "Lake Oswego, Oregon, United States", "Indianapolis, Indiana, United States", "Hoffman Estates, Illinois, United States", "Weatogue, Connecticut, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1793648820, "t_create": 1793383980, "ats_job_id": "262443", "display_job_id": "2026-262443", "type": "ATS", "id_locale": "2026-262443-en", "job_description": "Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Write simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistently with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. License may be required in multiple states by state law.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "hybrid", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618520568265", "isPrivate": false, "latlongs": "33.0198431,-96.6988856"}, {"id": 618520307051, "name": "Director, Data Science: Medical, Special Investigations, and Programs (MSP) Claims Data Science team", "posting_name": "Director, Data Science: Medical, Special Investigations, and Programs (MSP) Claims Data Science team", "location": "Remote, Remote, United States", "locations": ["Remote, Remote, United States", "Seattle, Washington, United States", "Boston, Massachusetts, United States", "Plano, Texas, United States", "Columbus, Ohio, United States", "Portsmouth, New Hampshire, United States"], "hot": 0, "department": "Data Science", "business_unit": "3047-USRM-Data Science-US", "t_update": 1793368860, "t_create": 1792182540, "ats_job_id": "262268", "display_job_id": "2026-262268", "type": "ATS", "id_locale": "2026-262268-en", "job_description": "Partner closely with leaders in Claims and other delivery partners (Insights & Solutions, Technology, and Enterprise Data) to identify AI/ML opportunities and create a delivery roadmap that prioritizes the most impactful work. Design, build, and iterate on Machine Learning and Generative & Agentic AI capabilities which deliver real business value for adjusters in Medical and Workers' Compensation claims. Collaborate with our partner teams to architect & deliver end-to-end intelligent systems integrating machine learning, LLMs, RAG pipelines, agentic workflows, and structured/unstructured claims data to solve real business problems. Apply strong software engineering and ML/AI Ops practices, including object-oriented Python, modular design, test-driven development, and model monitoring. Define and implement evaluation and measurement strategies, including impact & acceptance KPIs, human-in-the-loop review, and automated quality metrics. Collaborate with Engineers, Product, Architecture, UX, and Claims stakeholders to translate ambiguous problems into working solutions. Provide technical mentorship and thought leadership through design reviews and collaboration. Expert-level machine learning & statistical modeling practitioner with track record for delivering measurable business value. Deep knowledge of insurance claims processes, especially in Workers' Compensation or other medical-driven lines of business (e.g., Medical & Casualty, Disability). Experienced in Python development with object-oriented design and engineering best practices. Demonstrated AI/ML Ops experience including model lifecycle management, experimentation, evaluation, monitoring, and operational readiness in a cloud-native enterprise environment. Demonstrated ability to measure AI/ML and GenAI system quality and business impact using quantitative and qualitative approaches. Experience partnering with technical and business stakeholders in complex, enterprise environments. Experience delivering ML and AI products through Python API and Application frameworks like FastAPI and Streamlit (or equivalent) Demonstrated experience delivering business value with Generative & Agentic AI in an enterprise setting Building, deploying, and maintaining AI products using leading frontier models from providers like OpenAI, Anthropic, and Google Experience building generative & agentic AI solutions using frameworks like LlamaIndex, LangChain, LangGraph, or equivalent Exposure to CrewAI, AgentCore, or other agentic orchestration frameworks Familiarity with vector databases and embedding-based retrieval systems Deep knowledge of predictive analytic techniques and statistical diagnostics of models. Expert knowledge of predictive toolset. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Ability to establish and build relationships within and outside the organization. Ability to give effective training and presentations to management, executives and other groups. Ability to use results of analysis to persuade team, department management or senior management to a particular course of action. Deep knowledge of business drivers and market context. Has a value driven perspective with regard to understanding of work context and impact. Competencies typically acquired through a Ph.D. degree (in Statistics, Mathematics, Economics, Actuarial Science or other scientific field of study) and 5 years of relevant experience, a Master`s degree (scientific field of study) and 8 years of relevant experience or may be acquired through a Bachelor`s degree(scientific field of study) and 12 years of relevant experience.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "remote_local", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618520307051", "isPrivate": false, "latlongs": "37.09024,-95.712891"}, {"id": 618519985044, "name": "Senior Claims Representative", "posting_name": "Senior Claims Representative", "location": "Plano, Texas, United States", "locations": ["Plano, Texas, United States", "Remote, Remote, United States", "Boston, Massachusetts, United States", "Suwanee, Georgia, United States", "Lake Oswego, Oregon, United States", "Indianapolis, Indiana, United States", "Hoffman Estates, Illinois, United States", "Westborough, Massachusetts, United States", "Weatogue, Connecticut, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1793889960, "t_create": 1790607900, "ats_job_id": "262033", "display_job_id": "2026-262033", "type": "ATS", "id_locale": "2026-262033-en", "job_description": "Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments. Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Writes simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. License may be required in multiple states by state law.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "hybrid", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618519985044", "isPrivate": false, "latlongs": "33.0198431,-96.6988856"}, {"id": 618520351895, "name": "Senior Technical Claims Specialist II, Environmental Claims", "posting_name": "Senior Technical Claims Specialist II, Environmental Claims", "location": "Boston, Massachusetts, United States", "locations": ["Boston, Massachusetts, United States", "Dover, New Hampshire, United States", "Suwanee, Georgia, United States", "Charlotte, North Carolina, United States", "Lake Oswego, Oregon, United States", "Plano, Texas, United States", "Hoffman Estates, Illinois, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1792800840, "t_create": 1792602240, "ats_job_id": "262323", "display_job_id": "2026-262323", "type": "ATS", "id_locale": "2026-262323-en", "job_description": "Shape what comes next! This is a senior individual-contributor role for a seasoned claims professional to work in Commercial Casualty and Environmental Liability claims. You will own your files from first notice of loss through resolution, with ability to determine coverage, set reserves, direct litigation, and negotiate settlements. As a recognized subject matter expert, your judgment will shape outcomes and influence how we approach emerging environmental exposures. What You Bring 10+ years handling complex commercial casualty or environmental liability claims, including litigated matters Deep knowledge of coverage analysis and environmental liability (e.g., pollution legal liability, CERCLA, remediation, third-party BI/PD) Proven negotiation record on high-exposure claims Experience directing defense and coverage counsel Strong communication skills and the credibility to advise senior leaders CPCU, AIC, ARM, or JD a plus; adjuster licensing as required Experience with Superfund/CERCLA, remediation oversight, or environmental site claims Background in law, environmental science, engineering, or a related field, or a professional designation (e.g., CPCU, AIC) Experience handling construction defect, toxic tort, or other complex specialty lines Manage high-severity environmental and commercial casualty claims end to end, including coverage determination, liability analysis, reserving, negotiation, and payment. Analyze policy language, exclusions, and environmental liability provisions to take well-supported positions on complex, often novel coverage issues. Build resolution strategies, including discovery plans, reserve recommendations, and settlement approach. Assemble and direct the right team for each matter, including defense and coverage counsel, environmental consultants, Home Office Legal, and Home Office Claims. Manage outside counsel performance and billing. Partner with Underwriting, Reinsurance, and other business units. Mentor claims staff and advise Claims Management on legislative, court, and market developments affecting claims practices. Safeguard the integrity of claim payments and the confidentiality of claim files.", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "onsite", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618520351895", "isPrivate": false, "latlongs": "42.3555076,-71.0565364"}, {"id": 618520284339, "name": "Claims Officer, Cyber Claims", "posting_name": "Claims Officer, Cyber Claims", "location": "New York, New York, United States", "locations": ["New York, New York, United States", "Remote, Remote, United States"], "hot": 0, "department": "Claims", "business_unit": "3026-GRS-North America-US", "t_update": 1793113140, "t_create": 1792074540, "ats_job_id": "262240", "display_job_id": "2026-262240", "type": "ATS", "id_locale": "2026-262240-en", "job_description": "Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers, risk managers and reinsurers. As required, maintains insurance adjuster licenses. Coordinates incident response activities with breach coaches, forensic firms, crisis\u2011communications teams, and cybersecurity vendors during active cyber events. Evaluates forensic findings (e.g., Digital Forensics and Incident Response (DFIR), Forensic Accounting) and integrates conclusions into coverage and liability decisions. Advises insureds on recovery strategies, including business interruption documentation, data restoration processes, and post\u2011incident cyber\u2011hygiene improvements. Engages in thought leadership such as panel presentations, white papers, conference attendance, etc. Bachelors' and/or advanced degree 10 + years claims experience, with at least 5 years within a technical specialty. Advanced Cyber claims experience preferred. Highly advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge Functional knowledge of law and insurance regulations in various jurisdictions Demonstrated superior verbal and written communications skills Highest level of advanced analytical, decision making and negotiation skills", "stars": 0.0, "medallionProgram": null, "location_flexibility": null, "work_location_option": "onsite", "canonicalPositionUrl": "https://searchjobs.libertymutualgroup.com/careers/job/618520284339", "isPrivate": false, "latlongs": "40.7127753,-74.0059728"}, {"id": 618520785352, "name": "Field Property Claims Adjuster", "posting_name": "Field Property Claims Adjuster", "location": "Midlothian, Virginia, United States", "locations": ["Midlothian, Virginia, United States"], "hot": 0, "department": "Claims", "business_unit": "3003-USRM-Claims & Service-US", "t_update": 1794502920, "t_create": 1794494220, "ats_job_id": "263112", "display_job_id": "2026-263112", "type": "ATS", "id_locale": "2026-263112-en", "job_description": "Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include accessing roofs by ladder, inspecting attics, crawl spaces and basements in search of damage. Handle moderate to complex claims independently while managing your workload, from first notice of loss to final closure. Be expected to work in a vehicle in the field daily while occasionally handling assignments from the desk. Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements. Work with and coordinate a few vendor services such as contractors, emergency repair, cleaning services and various replacement services. May be called upon for catastrophe duty. Working knowledge of claims handling procedures and operations. Proven ability to provide exceptional customer service. Effective negotiation skills. Ability to effectively and independently manage workload while exhibiting good judgment. Strong written/oral communication and interpersonal skills. Computer skills with the ability to work with multi-faceted systems. The capabilities, skills and knowledge required through a bachelor's degree or equivalent experience and at least 1 year of directly related experience. Ability to obtain proper licensing as required. The ability to handle multiple competing priorities and organize your day. Strong time management and organizational skills. 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