Complex Claims Specialist

2 weeks ago


Rancho Cordova California, United States Berkshire Hathaway GUARD Insurance Companies Full time

Overview:
Berkshire Hathaway GUARD Insurance Companies fosters a collaborative workplace culture with exceptional benefits and competitive remuneration.

Our organization is expanding and seeking skilled professionals to build a fulfilling career with us.


Our achievements are rooted in our esteemed reputation, having earned an A+ "Superior" rating from a leading independent insurance evaluation agency.

Supported by our parent company, Berkshire Hathaway Inc., our brand is built on trust, service, and innovation.

If you desire an employer that values integrity and flexibility, continue reading to discover our benefits and career opportunities.


Benefits:
Work-life balance schedule

Generous vacation and sick leave

Closed on all major holidays

Healthcare benefits commence on your first day of employment

401K with company matching and profit sharing

Every five years, employees receive a substantial monetary award for vacation purposes

Tuition reimbursement available after six months of employment

Opportunities for career advancement

Be part of Berkshire Hathaway Inc., one of the world's most respected companies

Salary Range

$50,000-$90,000 USD


The successful candidate is expected to work in one of our offices 3-4 days per week and may be required to travel as necessary.

The annual base salary range provided reflects a broad spectrum of salaries across the U.S.

and is influenced by various factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills, and/or training.


Responsibilities:


The Complex Claims Specialist will manage loss time CCU level claims across multiple jurisdictions, with a significant focus on California.

This position presents an excellent opportunity for individuals seeking to enhance their knowledge and experience in handling lost time claims.

Handle California claims

Assess compensability and/or coverage issues for workers' compensation loss time claims

Negotiate and finalize settlements under management's oversight

Collect medical and factual evidence

Coordinate and oversee the activities of external investigations

Manage outside counsel and litigation within assigned authority

Engage daily with claimants, attorneys, external investigators, rehabilitation personnel, as well as insureds, medical providers, and agents

Complete claims handling responsibilities in a timely and efficient manner

Qualifications:
Ability to learn claims handling procedures across multiple states

Exhibits strong organizational, problem-solving, negotiation, and conflict resolution skills

Demonstrates a positive attitude towards GUARD and the claims department

Proven ability to contribute positively and support the vision, values, and strategies of the Claims Department while working effectively in a team environment

Innovative thinker with the capacity to manage multiple tasks

Excellent verbal and written communication skills

Some travel may be required

Completion of CA designation is preferred, but AZ designation may also be considered

Bachelor's degree or an equivalent combination of education and experience is preferred

Active Adjuster license is a plus or the ability to successfully pass the Texas Adjuster licensing exam upon hire

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