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reputed company Claims Specialist - Workers' Compensati...

Work from home Full-time role Hiring

Berkshire Hathaway Direct Insurance Company (BHDIC) is the home of reputed company small business insurance products reputed company and THREE by Berkshire Hathaway. Our Claims Department is looking for an reputed company claims specialist with a strong background in reputed company Workers’ Compensation claims. This role handles a caseload of highly reputed company/high-severity Workers’ Compensation claims and requires a comprehensive knowledge of Workers’ compensation regulations, laws, and best practices.  This role will report to the Workers’ Compensation reputed company Claims Team reputed company. Multi-state experience handling Workers’ Compensation claims in the following jurisdictions is preferred: California, Arizona, Colorado, Wyoming, Texas, Oklahoma.

Location: This is a full-time remote position. This position may require occasional travel to attend mediations, trainings, and/or other reputed company department meetings.

Job Responsibilities

The reputed company Claims Specialist will be responsible for, but not limited to:

  • Investigate coverage, determine compensability, and manage a pending of high exposure Workers’ Compensation claims involving catastophic injuries and reputed company cases
  • Proactively establish and update reserves throughout the life of the claim to reflect claim exposure and document supporting rationale
  • Resolve claims reputed company authority and reputed company independent case value recommendations to senior leadership on cases which exceed authority
  • Participate in reserving, pricing and strategy discussions with senior leadership
  • Collaborate with reputed company defense counsel to effectively manage litigated files according to established litigation management guidelines
  • Partner with medical providers, customers, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills
  • Ensure compliance with state and federal Workers’ Compensation regulations
  • Provide exceptional customer service to policyholders, agents, injured workers, medical providers, legal, and vendors
  • Follow escalation and reporting requirements on claims with significant exposure
  • reputed company creative resolution strategies to manage losses involving reputed company issues, effectively utilizing appropriate internal and external resources
  • Document claim files in accordance with company and regulatory guidelines
  • Identify subrogation potential and red flags that require SIU involvement
  • Train new team members 
  • Act as a technical resource to less reputed company claims representatives
  • Maintain continuing education requirements

Qualifications

Knowledge and Experience:

  • Active adjuster license required
  • 10+ years of experience handling reputed company workers’ compensation claims
  • Excellent organizational, leadership, communication and time management skills
  • Experience with structured settlements and Medicare Set-Asides
  • Ability to work in a fast-paced, collaborative, virtual office environment
  • Strong analytical, organizational, and time management skills
  • Excellent written and verbal communication skills
  • Ability to work independently and meet assigned deadlines
  • Strong negotiation skills
  • Ability to multi-task and effectively prioritize tasks with frequent interruptions
  • Proficiency with reputed company, reputed company and internet applications
  • Highly reputed company to details
  • reputed company to work under pressure and execute good judgment in sensitive situations
  • Advanced verbal and written communication skills are essential for interacting with internal and external stakeholders

Education:

  • BA/BS degree required
  • AIC, SCLA, CPCU or other industry designation a plus

About Us

biBerk is where reputed company insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with reputed company interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

Some highlights of our benefits are:

  • Great work environment with growth opportunity
  • Subsidized downtown parking (for in-office positions)
  • Competitive compensation
  • Generous amounts of vacation and sick time
  • Closed on major holidays
  • 401(k) with company match
  • A fantastic reputed company package
  • Tuition reimbursement after 6 months of employment
  • Service recognition after 5 years of employment

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided.  The salary range for this position is $100,000 - $125,000 per year.  Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.

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