Hybrid Workers’ Comp Claims Operations Specialist

Berkshire Hathaway GUARD Insurance Companies; Wilkes-Barre (Luzerne County); Híbrido; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid schedule: 2 days remote / 3 in‑

Hybrid schedule

Predictable hours (no nights, weekends

Competitive pay + generous PTO

Medical, dental & vision starting day

401(k), tuition reimbursement &lon v g

Descripción de la vacante

Berkshire Hathaway GUARD Insurance Companies seeks a Workers' Compensation Claims Operations Specialist to help optimize the WC claims operation. You will work with Claims leadership to improve processes, establish quality controls, and support strategic projects aligned with broader P&C Claims goals.

The role requires WC claims expertise, analytical skills, and a drive for operational excellence, with a hybrid schedule (2 days remote, 3 in‑office) and opportunities for growth.

Formación

• Bachelor's degree or equivalent experience required.
• 5+ years of Workers' Compensation claims experience preferred.
• Strong understanding of Workers' Compensation claims handling and adjudication practices.
• Excellent written and verbal communication skills.
• Strong organizational and project management abilities.

Responsabilidades

• Support daily operations and long-term strategic initiatives with Claims leadership.
• Establish and monitor quality assurance programs, claims audits, and performance reporting.
• Identify trends, recurring issues, and workflow bottlenecks, and implement corrective actions.
• Collaborate with training partners to address skill gaps and improve team performance.
• Work with medical networks, cost containment partners, investigative vendors, and other claim service providers to resolve issues and strengthen outcomes.
• Partner with Compliance to maintain audit-ready processes, documentation, and reporting.
• Collaborate with IT to enhance workflows, reporting, business rules, and system functionality.
• Develop scalable, documented processes that improve efficiency and reduce manual effort.
• Lead or support initiatives that improve claims performance, service delivery, and operational standards.

Conocimientos

Analytical skills

Communication skills

Organizational skills

Project management

Problem solving

Educación

Bachelor's degree or equivalent experience

Herramientas

Microsoft Office

Descripción del empleo

Berkshire Hathaway GUARD Insurance Companies seeks a Workers' Compensation Claims Operations Specialist to help optimize the WC claims operation. You will work with Claims leadership to improve processes, establish quality controls, and support strategic projects aligned with broader P&C Claims goals.

The role requires WC claims expertise, analytical skills, and a drive for operational excellence, with a hybrid schedule (2 days remote, 3 in‑office) and opportunities for growth.