Workers' Compensation Claims Representative - California
Remote USA
Job 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
Preferred Knowledge
- A minimum of three years' experience required
- Experience handling claims in CA
- Bachelor's degree required
- SIP certification preferred
- Bilingual candidates (Spanish) preferred
- Carrier experience preferred
- 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
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
- 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
In accordance with pay transparency laws and regulations, the following good faith starting compensation is being provided. The starting compensation for this position is $75,000 to 87,000 per year. Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.
ApplyJob Profile
Preferably located in California
Benefits/Perks401(k) match A fantastic healthcare package Closed on major holidays Competitive compensation Fully remote Generous amounts of vacation and sick time Generous vacation Great work environment with growth opportunity Growth opportunity Healthcare package Subsidized downtown parking Subsidized parking Tuition reimbursement Tuition reimbursement after 6 months of employment Vacation and sick time
Tasks- Coordinate with stakeholders
- Determine compensability
- Gather evidence
- Manage caseload
- Negotiate settlements
Claims adjusting Communication Conflict Resolution Investigation Litigated Claims Medical terminology Negotiation Organizational Problem-solving Verbal and written communication Workers Compensation Written communication
Experience3 years
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9