Claims Adjuster (Spanish Fluency Preferred)

Berkshire Hathaway Homestate Companies; Sacramento (CA); Sur place; USD 33 000 - 47 000; Plein temps

Avantages offerts par ce poste

Full Training Program

Growth and advancement opportunities

Work - Life Balance

Manageable Caseloads

Modernized Historical Setting in East 

Free Lot Parking

Résumé du poste

Berkshire Hathaway Homestate Companies is seeking a Claims Adjuster Trainee to manage a caseload of workers’ compensation claims from inception to resolution. The role emphasizes classroom training and hands-on experience in investigations, reserves, and plan development.

After completing the training program, you will handle investigations, reserve calculations, and client relations, while collaborating with Call Center, Medical Management, and Indemnity staff in a fast-paced environment in

Qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred.
• Spanish fluency a plus.
• Strong interpersonal and customer service skills.
• Ability to manage multiple assignments in a fast-paced environment.
• Solid organizational skills to meet deadlines.
• Knowledge of Microsoft Office/365 and ability to learn proprietary/vendor software.

Responsabilités

• Completes training on workers' compensation claims handling strategies and skills.
• Conducts initial investigation to determine coverage, compensability, severity, and gathers information via three-point contact calls.
• Calculates reserves for each claim and adjusts as needed per guidelines.
• Develops and updates a Plan of Action for resolving each claim.
• Makes prompt, sound decisions and escalates issues as needed per guidelines.
• Ensures benefits are calculated and notices filed in accordance with legal requirements.
• Fosters positive relationships with internal and external partners.

Connaissances

Spanish language

Communication skills

Customer service

Multitasking

Time management

Formation

High School Diploma or equivalent

Bachelor's degree preferred

Outils

Microsoft Office/365

Description du poste

WHAT WE’R ELOOKING FOR

Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment?Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers’ Compensation Claims Adjuster.

Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations. This individual will continue to build on claims knowledge and claims will increase in number and complexity.

ESSENTIAL RESPONSIBILITIES

• Successfully completes classroom training introducing workers compensation claims handling strategies, medical terminology,statutory requirements, and investigative skills.
• Conducts initial investigation of reported claims to determine coverage, compensability, severity, and gather all other relevantinformation via 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.
• Makes prompt, sound decisions on issues that arise based on the best information available, ensuring that work is performed inaccordance with Company guidelines and applicable statutory requirements. Timely escalates issues/red flags to Supervisor.
• Ensures benefits due injured worker are calculated and issued appropriately in accordance with legal requirements including theissuance of appropriate notices and filings.
• Fosters a positive and close working relationship with internal and external partners, including Call Center, MedicalManagement, Special Investigations, and Indemnity Adjusting Staff.

REQUIRED QUALIFICATIONS

• Minimum of High School Diploma or equivalent certificate required; Bachelor’s degree from four-year college or university is preferred.
• Ability to communicate effectively verbally and in writing; Spanish Fluency ability a plus.
• Solid 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.
• Knowledge of Microsoft Office/365 suite of applications and ability to master proprietary and vendor software.

WHAT WE OFFER

• Full Training Program
• Growth and advancement opportunities
• Work - Life Balance
• Manageable Caseloads
• Modernized Historical Setting in East Sacramento
• Free Lot Parking

BENEFITS

• Paid Time Off
• Paid Holidays
• Retirements Savings Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Paid Community Volunteer Day
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program

In accordance with the California Equal Pay Act, the starting hourly wage for this job is $28.8462. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.

ABOUT US

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.

At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.