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Complex Claims Representative

1 month ago

Boston, 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- No Nights or Weekends 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 worker's compensation, loss time CCU level claims for New York. 

Responsibilities:

Handle New York worker's compensation litigated complex 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

• 5+ years of Experience with loss time, litigated claims in NY is a Must
• Flexibility and Positive Attitude a Must
• Ability to learn claims handling procedures in multiple states as needed
• 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
• Bachelor’s degree or an equivalent combination of education and experience preferred
• Active NY Adjuster license a plus