Claims Representative

Overview Berkshire Hathaway GUARD Insurance Companies provide Property & Casualty insurance products and services through a nationwide network of independent agents/brokers.  Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world!  Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country.  Our vision is to be the leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values:  accountability, service, integrity, empowerment, and diversity.  We are always in search of talented individuals to join our team and embark on an exciting career path! BENEFITS We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all.   You'll be surprised by all we have to offer!  Competitive compensation Healthcare benefits package that begins on first day of employment 401K retirement plan with company match and profit sharing Generous paid vacation and sick time Hybrid work schedule (three days in the office, two days from home) Work/life balance schedule - no nights or weekends/closed for all major holidays Longevity awards (every 5 years of employment receive a generous monetary award to be used toward a vacation) Tuition reimbursement after six months of employment Numerous opportunities for continued training and career advancement And much more! Responsibilities The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in California.  Handle CA claims Determines compensability and/or coverage issues for workers' compensation loss time claims Negotiates and completes settlements under management's review Gathers medical and factual evidence Coordinates and directs the activities of outside investigation Manages outside counsel and litigation within given authority Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents Completes timely and efficient claims handling responsibilities Qualifications Ability to learn claims handling procedures in multiple states Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills Shows positive attitude toward GUARD and claims department Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment Innovative thinker with the ability to multi-task Excellent verbal and written communication skills Some travel may be required Bachelor's degree or an equivalent combination of education and experience preferred Adjuster's License

Created: 2024-11-15