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Berkshire Hathaway GUARD Insurance Companies · 1 month ago

Head of Workers’ Compensation Claims

US-PA-Conshohocken

Full-time

Hybrid

Director/Executive

10+ years exp

Berkshire Hathaway GUARD Insurance Companies is a leading provider of Property & Casualty insurance products. They are seeking a strategic Head of Workers’ Compensation Claims to lead their claims ecosystem, driving outcomes and enhancing customer experience across multi-site teams.

Commercial InsuranceFinancial ServicesInsuranceLife Insurance

Responsibilities

Set multi‑year strategy and annual operating plans; establish and monitor KPIs (severity, leakage, duration, return‑to‑work, litigation rates), and drive portfolio‑level performance improvements

Champion rigorous investigations, justifiable reserving, proactive disability management with a return‑to‑work focus, fraud identification, and timely, appropriate closure consistent with GUARD’s WC Claims Policy & Procedure framework

Build leader capability and bench strength; standardize training and coaching in partnership with L&D and QA; support a culture of accountability, service, and growth. (Aligned to our internal training approach for Claims)

Maintain compliance across jurisdictions (NCCI, state rules); anticipate regulatory changes and embed them in policy, process, and training

Optimize panel counsel outcomes and vendor performance; evolve TPA oversight and service‑level adherence

Collaborate with Underwriting, Actuarial, Legal, Data & Analytics, and Finance to inform pricing, trend analysis, and loss cost management; share insights on market dynamics impacting WC

Qualification

Workers’ Compensation claims leadershipMulti-state program managementWC technical knowledgeRegulatory complianceTalent developmentExecutive-level influenceAnalytical skillsCoaching skillsTraining standardizationVendor managementFraud identificationKPI monitoringMarket dynamics analysisPanel counsel optimizationClaims policy adherenceReturn-to-work focusJustifiable reservingRisk mitigationCase managementMedical-only claimsTPA oversightClaims legal managementCollaboration skillsCommunication skillsProblem-solving skillsLeadership skills

Required

10–15+ years of progressive Workers' Compensation claims leadership experience with responsibility for multi‑state programs and large teams; mastery of WC technical, legal, and regulatory frameworks

A proven record improving severity, duration, litigation, and indemnity/medical outcomes through operating models, analytics, and talent development

Strength in building leader capability, standardizing file quality, and scaling training programs across sites

Executive‑level influence; adept at partnering with a Chief Claims Officer and cross‑functional executives