Claims Adjuster Trainee

Berkshire Hathaway Homestate Companies - Workers Compensation Division; San Francisco (CA); On-site; USD 38,248 - 54,474; Full time

Benefits offered by this job

Training Program

Growth opportunities

Work-Life Balance

Caseload management

Parking

Job summary

Berkshire Hathaway Homestate Companies in California is seeking a Workers’ Compensation Claims Professional to begin a challenging, rewarding career path. You will complete classroom training and conduct investigations to determine coverage, severity and reserves while developing action plans for successful claim resolution.

The role requires strong communication, interpersonal skills, and the ability to manage multiple tasks in a fast-paced environment.

Qualifications

• High school diploma required; bachelor's degree preferred.
• At least one year of related training or experience.
• Ability to communicate effectively, bilingual preferred.
• Strong interpersonal and customer service skills.
• Ability to manage multiple assignments in a fast-paced environment.
• Proficiency with Microsoft Word, PowerPoint, Excel, Outlook.

Responsibilities

• Complete classroom training on workers' compensation claims handling strategies and terminology.
• Conduct initial investigations to determine coverage and severity.
• Calculate reserves and adjust as needed per guidelines.
• Develop and update a Plan of Action for each claim.
• Make prompt, sound decisions in line with guidelines and escalate when needed.
• Ensure benefits are calculated and issued per legal requirements.
• Collaborate with Call Center, Medical Management, and Indemnity staff.

Skills

Claims handling

Investigation

Reserves calculation

Plan of Action

Decision making

Notices & filings

Interpersonal skills

Multitasking

Organization

MS Office

Education

High school diploma

Bachelor’s degree preferred

Tools

Microsoft Word

PowerPoint

Excel

Outlook

Job description

What We’re Looking For

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

Essential Responsibilities

• Successfully complete classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills.
• Conduct initial investigation of reported claims to determine coverage, compensability, severity, and gather all other relevant information via three-point contact telephone calls.
• Calculate appropriate reserves for each claim and ensure that reserves are adjusted as needed per authority guidelines.
• Develop and update a Plan of Action for the successful resolution of each claim.
• Make prompt, sound decisions on issues that arise based on the best information available, ensuring that work is performed in accordance with company guidelines and applicable statutory requirements. Escalate issues/red flags to supervisor in a timely manner.
• Ensure benefits due injured worker are calculated and issued appropriately in accordance with legal requirements including the issuance of appropriate notices and filings.
• Foster a positive and close working relationship with internal and external partners, including Call Center, Medical Management, Special Investigations, and Indemnity Adjusting Staff.

What You’d Bring To The Role

• Minimum of high school diploma or equivalent certificate required; bachelor’s degree from a four‑year college or university is preferred.
• Minimum one year of related training or general experience.
• Ability to communicate effectively verbally and in writing; bilingual ability preferred.
• 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.

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
• Retirement 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 $33.6539. 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.