Claims Adjuster (Spanish Fluency Preferred)
Berkshire Hathaway Homestate Companies is a dynamic organization seeking bright individuals for a rewarding career as a Workers’ Compensation Claims Adjuster. The role involves managing a caseload of workers compensation claims, from inception to resolution, while building knowledge in claims handling and client relations.
Responsibilities
- Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts
- Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records
- Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making three-point contact telephone calls
- Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines
- Develops and updates a plan of action for the successful resolution of each claim
- Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently
- Reduces fraud through early identification and escalation
- Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers
- Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims
- Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim
Skills
- Minimum of High School Diploma or equivalent certificate required
- Ability to communicate effectively verbally and in writing
- Exceptional interpersonal and customer service skills
- Ability to manage and prioritize multiple assignments in a fast-paced environment
- Strong organization skills to ensure tasks are completed within hard deadlines
- Basic mathematical skills to calculate monetary reserves
- Knowledge of Microsoft Word, Powerpoint, Excel, Outlook
- Bachelor's degree from four-year college or university
- Spanish Fluency ability
Benefits
- Unparalleled financial strength and stability
- Fantastic growth and advancement opportunities
- WFH Hybrid schedule
- Free gym in building
- Generous Paid Time Off and Holidays
- Excellent Benefits (Medical, Dental, Vision, 401k, etc)
- Health and Wellness Reimbursement
- Tuition Assistance Reimbursement
- Discounts across companies such as GEICO, See’s Candies, etc.
Company Overview