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Berkshire Hathaway Homestate Companies - Workers Compensation Division · 1 week ago

Subrogation Claims Professional (Mid or Senior Level)

San Francisco Bay Area

Full-time

Hybrid

Mid, Senior Level

$90K/yr - $130K/yr

3+ years exp

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Subrogation Claims Professional responsible for managing a caseload of subrogation claims. This role involves ensuring cost-containment and maximal recovery outcomes while adhering to established guidelines.

Financial ServicesInsurance

Responsibilities

Effectively manages a caseload of subrogation claims, providing highest quality claims service, and appropriate resolutions in accordance with our claims handling guidelines

Reviews claim files to identify, evaluate, and interpret subrogation potential for single and multi-party claims. Coordinates appropriate steps to secure evidence and ensure pursuit, development and recovery of claims. Evaluates completeness and accuracy of documentary evidence

Assists in recovery of overpayments for duplicate coverage claims. Identifies legal liability and pursues, negotiates and settles subrogation collection. Interacts with appropriate parties to recommend and document necessary information to close claim

Assists adjusters in identifying claims in which a third party(ies) is(are) responsible for a claim, coordinating communication with the responsible party(ies) for facilitating recovery of payments. Makes recommendations on recovery potential for subrogation claims

Ensures that subrogation claims are managed in compliance with applicable statutes, regulations, case law, and Company standards. Follows guidance to optimize subrogation recovery to ensure claims are appropriately and timely subrogated

Participates in a variety of subrogation-related projects such as process improvements, workflow mapping, trend identification, etc

Contributes to training for Claims adjusting teams and others on subrogation and related topics

Interacts effectively in roundtables, sharing appropriate information to improve education and understanding of subrogation topics by others

Qualification

Workers compensation claimsSubrogation claims managementData analytic skillsClaims software proficiencyMathematical reasoningCritical thinkingNegotiation skillsEffective communicationTeam collaboration

Required

Minimum of High School diploma or equivalent certificate required

Minimum of 3 years of workers compensation claims adjusting experience (7 years for Senior-level) required

Minimum of 4 years of subrogation claims management required for Senior-level

Solid workers compensation claims management knowledge for state assigned

Data analytic skills to perform solid data collection, analysis, and reporting

Proficient in Microsoft Office suite of products

Knowledge of claims software systems and able to master and become proficient in proprietary and vended software programs

Able to apply concepts such as fractions, percentages, ratios and proportions to practical claims solutions

Able to compute rate, ratio, and percent

Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form

Able to deal with problems involving multiple unknown variables in situations with limited data

Able to read and interpret information and documents contained in claim files

Able to write routine reports and correspondence

Able to effectively negotiate, write, and interpret legal and business correspondence and reports

Able to effectively present research, make persuasive arguments, and professionally respond to questions from attorneys, internal partners, and external sources

Able to think critically and adapt quickly in a flexible and dynamic environment

Are proactive and inquisitive in approach to work

Able to derive appropriate conclusions and apply on the job

Preferred

Bachelors degree from an accredited four-year college or university

Prior subrogation claims management experience

California Claims Professionals: Self-Insurance Administrators Certification

Benefits

Hybrid Work Schedule (up to 2 days work from home upon eligibility)

Multiple Office Locations - Financial District Downtown or Walnut Creek

Paid Time Off

Paid Holidays

Immediate Vesting of Retirement Savings + Company Match

Group Health Insurance (Medical, Dental, and Vision)

Life and AD&D Insurance

Long Term Disability Insurance

Hospital Indemnity Insurance

Accident and Critical Illness Insurance

Flexible Savings Accounts

Paid Community Volunteer Day

Employee Assistance Program

Tuition Reimbursement Program

Employee Referral Program

Diversity, Equity and Inclusion Program

Company

Berkshire Hathaway Homestate Companies - Workers Compensation Division

Glassdoor3.4

Financial Strength and Integrity With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.

Founded in 1970

Omaha, Nebraska, USA

501-1000 employees