Senior Claims Adjuster - Workers Compensation
Berkshire Hathaway Homestate Companies (BHHC) is a group of six insurance carriers that are part of the Berkshire Hathaway group. We offer a wide range of insurance products and services and are known for our financial strength and stability. Our Workers Compensation division provides specialized services, including tailored risk management, proactive claim management, and fraud prevention, contributing to superior claim outcomes.
Job Description:
As a Senior Claims Adjuster specializing in Workers Compensation at BHHC, you will manage complex lost-time claims, particularly those that may lead to significant costs. This role involves thorough investigation, evaluation, and resolution of claims, ensuring compliance with company policies and state regulations.
Responsibilities:
- Independently handle all types of workers compensation claims, including complex cases, from inception to resolution.
- Conduct thorough investigations to determine coverage and compensability, including interviews with insureds, claimants, and witnesses.
- Establish appropriate case reserves based on specifics of each case, adhering to company guidelines and applicable state requirements.
- Review and make decisions regarding medical bills, wage claims, and other claim-related items to maintain up-to-date files.
- Identify subrogation opportunities and coordinate with relevant parties to pursue recovery.
- Manage files in litigation, including reviewing the quality of outside counsel participation.
- Negotiate settlements within assigned authority levels.
- Ensure compliance with procedural guidelines, including maintaining all reports within BHHC standards.
- Participate in additional projects, including training and special assignments, as needed.
Requirements:
- High school diploma required; associate’s or bachelor’s degree preferred.
- Minimum of 4 years of workers compensation claims adjusting experience.
- Active Workers Compensation Adjuster license required.
- Strong technical knowledge of workers compensation rules and regulations.
- Excellent organizational and communication skills.
- Ability to work independently and collaboratively within a team.
- Proficiency in Microsoft Office products.
- Bilingual skills are a plus.
Benefits:
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Health and Wellness: Comprehensive health insurance plans, including medical, dental, and vision coverage. Participation in our Company Wellness Program, annual health fair, and flu shot drives.
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Financial and Retirement: Employee Retirement Savings Plan with company match to help you secure a promising future.
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Professional Development: Educational assistance, including tuition reimbursement, job-related courses, professional certifications, and degree programs to support your career growth.
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Work-Life Balance: Generous paid time off, including holidays, PTO, and 8 hours of paid volunteer time. Flextime and flexible spending accounts (FSA) are also available.
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Additional Perks: Employee Referral Program, attractive employee discounts, and engagement initiatives such as Red Cross blood drives and CPR and First Aid training.
Why Join Us?
At BHHC, we value respect, innovation, and doing what’s right. We offer a supportive environment where your contributions are recognized and rewarded. Our commitment to your professional growth, combined with our comprehensive benefits package, makes BHHC an excellent place to advance your career.
How to Apply:
Interested candidates are invited to submit their application through our careers portal. Please include your resume and a cover letter detailing your relevant experience and explaining why you are a good fit for this role.