Claims Representative

Found in: Resume Library US A2 - 1 week ago


Rancho Cordova California, United States Berkshire Hathaway GUARD Insurance Companies Full time
Overview:
Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is hiring and we’re looking for talented individuals to join our team and establish a rewarding career with us.

 

Our success is founded on our strong reputation, and we have received an A+ “Superior” grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you’re looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.

 

Benefits:

Work life balance schedule

Generous vacation and sick time

Closed on all major holidays

Healthcare benefits begin on your first day of employment

401K with company match and profit sharing

Every 5 years employees receive a generous monetary award to be used toward a vacation

Tuition reimbursement after six months of employment

Discover opportunities to advance your career

Be part of Berkshire Hathaway Inc., one of the world’s most admired companies

Responsibilities:
The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in California. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims

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

Completed CA designation is preferred

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

Active Adjuster license a plus or able to successfully pass Texas Adjuster licensing exam upon hire


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