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Berkshire Hathaway Homestate Companies - Workers Compensation Division · 5 hours ago

Claims Examiner Trainee

Walnut Creek, CA

Full-time

Hybrid

New Grad

$32.69/hr - $32.69/hr

Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers’ Compensation Claims Adjuster. The Claims Adjuster Trainee will manage a caseload of workers compensation claims from inception to resolution, involving investigation, strategic planning, and client relations.

Financial ServicesInsurance

Responsibilities

Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts

Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records

Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making 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

Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently

Reduces fraud through early identification and escalation

Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers

Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims

Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim

Qualification

Claims ManagementSpanish FluencyMicrosoft Office SuiteInvestigative SkillsCustomer Service SkillsMathematical SkillsNegotiation SkillsDecision-Making SkillsOrganizational Skills

Required

Minimum of High School Diploma or equivalent certificate required

Ability to communicate effectively verbally and in writing

Exceptional 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

Basic mathematical skills to calculate monetary reserves

Proficient in the Microsoft Office Suite of applications

Proficient, or able to become proficient, on applicable databases, systems, and vendor software programs

Preferred

Bachelor's degree from four-year college or university

Spanish Fluency ability

Benefits

Unparalleled financial strength and stability

Fantastic growth and advancement opportunities

WFH Hybrid schedule

Free gym in building

Generous Paid Time Off and Holidays

Excellent Benefits (Medical, Dental, Vision, 401k, etc)

Health and Wellness Reimbursement

Tuition Assistance Reimbursement

Discounts across companies such as GEICO, See’s Candies, etc.

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.

Founded in 1970