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.
WHAT YOU'D BRING TO THE ROLE
- 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 preferred
- 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
- Knowledge of Microsoft Word, Powerpoint, Excel, Outlook
WHY YOU SHOULD APPLY
- 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.
Top Skills
What We Do
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. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what power our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
Nationwide Strength. Hometown Feel.
Berkshire Hathaway Homestate Companies (BHHC) began as eight separately managed regional insurance companies across the United States.
As originally chartered, each wrote primarily in its own “home state” – with some business in bordering states. The eight companies began as personal lines writers, and each had its local underwriting and management presence in their territories – a core strategy BHHC continues to utilize. Today, BHHC has expanded its footprint nationally, while remaining committed to our heritage of offering the personalized service of a local homestate insurance company
