Claims Representative - Workers' Compensation (Mixed Desk) jobs in United States
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biBerk Business Insurance · 1 month ago

Claims Representative - Workers' Compensation (Mixed Desk)

biBerk Business Insurance is seeking an experienced worker’s compensation claims adjuster. The role involves managing a caseload of loss time claims, negotiating settlements, and coordinating with various stakeholders to ensure effective claims processing.

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Responsibilities

Determine compensability and/or coverage issues for loss time workers' compensation claims
Effectively manage a caseload of loss time claims from numerous jurisdictions
Negotiate and direct settlements under management's review
Gather medical and factual evidence to determine compensability
Direct outside investigation and handle litigation files within given authority
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers

Qualification

Workers' compensation claimsClaims handling experienceNegotiation skillsMedical terminologyOrganizational skillsProblem solving skillsConflict resolution skillsVerbal communicationWritten communication

Required

A minimum of 3 years of experience required
Experience handling claims in multiple jurisdictions including: AZ, CO, IL, IN, KY, MO, MN, and TX
Bachelor's degree required
Experience in handling lost time or litigated claims
Familiarity with medical terminology
Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
Excellent verbal and written communication skills needed

Preferred

Carrier experience preferred

Benefits

Medical (PPO/HDHP), vision, disability, and life insurance.
Enhanced dental plan with orthodontia coverage in addition to a standard plan.
Generous PTO plan for all benefit-time eligible employees.
Paid company holidays and 4 floating holidays.
Paid parental leave.
Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
Voluntary benefits that include accident, critical illness, and hospital indemnity.
Employee discount and rewards program on travel, tickets, electronics, home, and more.

Company

biBerk Business Insurance

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biBerk helps small-business owners find the right insurance policies for their needs without extra costs and hassles.

Funding

Current Stage
Growth Stage

Leadership Team

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Brian Appel MBA, CLA
Partner Services - Senior Licensed Partner Agent
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Geneie Andrews
Director Of Partnerships
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