Claims Adjuster jobs in United States
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Berkshire Hathaway Homestate Companies - Workers Compensation Division · 2 hours ago

Claims Adjuster

Berkshire Hathaway Homestate Companies is a national insurance group seeking bright individuals for the role of Workers’ Compensation Claims Adjuster. The position involves managing a caseload of workers compensation claims from inception to resolution, including investigation, strategic planning, and client relations.

Financial ServicesInsurance

Responsibilities

Successfully completes classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills
Conducts initial investigation of reported claims to determine coverage, compensability, severity, and gather all other relevant information via three-point contact telephone calls
Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines
Develops and updates a Plan of Action for the successful resolution of each claim
Makes prompt, sound decisions on issues that arise based on the best information available, ensuring that work is performed in accordance with Company guidelines and applicable statutory requirements. Timely escalates issues/red flags to Supervisor
Ensures benefits due injured worker are calculated and issued appropriately in accordance with legal requirements including the issuance of appropriate notices and filings
Fosters a positive and close working relationship with internal and external partners, including Call Center, Medical Management, Special Investigations, and Indemnity Adjusting Staff

Qualification

Workers Compensation ClaimsSpanish FluencyMicrosoft Office SuiteInterpersonal SkillsCustomer Service SkillsOrganizational SkillsCommunication SkillsTime Management

Required

Minimum of High School Diploma or equivalent certificate required; Bachelor's degree from four-year college or university is preferred
Ability to communicate effectively verbally and in writing; Spanish Fluency ability a plus
Solid interpersonal and customer service skills
Ability to manage and prioritize multiple assignments in a fast-paced environment
Strong organization skills to ensure tasks are completed within hard deadlines
To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications and be proficient, or able to become proficient, on applicable databases, systems, and vendor software programs

Preferred

Bachelor's degree from four-year college or university is preferred
Spanish Fluency ability a plus

Benefits

Paid Time Off
Paid Holidays
Retirements Savings Match
Group Health Insurance (Medical, Dental, and Vision)
Life and AD&D Insurance
Long Term Disability 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

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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.

Funding

Current Stage
Late Stage

Leadership Team

A
Andy Linkhart
Chief Claims Officer and Chief Financial Officer
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David Speights
Vice President of Analytics
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Company data provided by crunchbase