Claims Team Lead - Workers' Compensation (California)

The Workers’ Compensation California Claims Team Lead will lead a lost time Workers’ Compensation claims team and may handle a reduced pending consisting of complex and / or catastrophic workers’ compensation claims. This position will oversee a team of California adjusters handling claims ranging in severity from moderate to complex, often involving litigation.

This is a full-time remote position from anywhere in the continental US, but may require occasional travel to attend trainings, department meetings, mediations, or hearings. 5-7+ years of experience handling litigated California WC claims is preferred.

Job Responsibilities

The Workers’ Compensation California Claims Team will be responsible for, but not limited to:

• Evaluate, reserve, and manage a reduced pending of California lost time Workers’ Compensation claims
• Provide exceptional customer service to injured workers, medical providers, and customers
• Responsible for team performance and development
• Partner with Claims Supervisor to identify training opportunities
• Assist team with escalated issues, claim strategies, coverage positions, and guide team members to the appropriate resources
• Provide coaching to claims team on claim strategy and reserving in accordance with company and regulatory requirements
• Partner with medical providers, vendors, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills
• Ensure compliance with state and federal Workers’ Compensation regulations
• Conduct bi-annual performance and development discussions with team members
• Communicate regularly with internal and external stakeholders regarding claim status
• Follow escalation and reporting requirements on claims with significant exposure
• Participate in team roundtable discussions to align on reserves and settlement values
• Recognize exposures and ensure reserves are adequate and timely
• Conduct weekly team meetings and regular individual check-in discussions with team members
• Proactively manage claim resolution, including formation and implementation of action plans
• Document claim files in accordance with company and regulatory guidelines
• Identify subrogation potential and red flags that require SIU involvement
• Maintain adjuster licenses and continuing education, as required
• Special projects as assigned

Qualifications

• SIP Certification required
• Previous Workers’ Compensation supervisory experience required
• Minimum 5-7 years handling CA WC claims
• Ability to work in a fast-paced, collaborative, virtual office environment
• Strong analytical, organizational, and time management skills
• Prior leadership experience a plus
• Excellent written and verbal communication skills
• Ability to work independently and meet assigned deadlines
• Strong negotiation skills
• Ability to multi-task and effectively prioritize tasks with frequent interruptions
• Proficiency with MS Word, Excel and internet applications
• Highly attentive to details
• Able to work under pressure and execute good judgment in sensitive situations
• Strong interpersonal skills
• Excellent written and verbal communication skills
• Strong organizational and computer skills
• Self-motivator: works independently with minimal to moderate supervision

EDUCATION:

• BA/BS degree required
• AIC, SCLA, CPCU or other industry designation a plus

About Us

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

Some highlights of our benefits are:

• Great work environment with growth opportunity
• Subsidized downtown parking (for in-office positions)
• Competitive compensation
• Generous amounts of vacation and sick time
• Closed on major holidays
• 401(k) with company match
• A fantastic healthcare package
• Tuition reimbursement after 6 months of employment
• Service recognition after 5 years of employment

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided.  The salary range for this position is $85,000 to $118,000 per year.  Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.