Senior NY Workers' Compensation Claims Representative

Berkshire Hathaway Guard; Village of Pelham (NY); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Complex Claims Representative to manage loss time workers' compensation claims across various jurisdictions, with a focus on New York. This role demands a proactive individual with over 5 years of relevant experience, strong negotiation skills, and the ability to work effectively in a team. The successful candidate will enjoy a hybrid work schedule, competitive compensation, and a range of benefits including healthcare, paid time off, and opportunities for career advancement. Join a company that values integrity, accountability, and diversity, and make a meaningful impact in the insurance sector.

Benefits

Healthcare benefits package

401K retirement plan with company match

Generous paid time off

Parental and bonding leave

Tuition reimbursement

Longevity awards

Opportunities for training and advancement

Qualifications

• 5+ years of NY loss time workers compensation experience required.
• Strong organizational and communication skills are essential.

Responsibilities

• Handle loss time CCU level claims throughout multiple jurisdictions.
• Determine compensability and negotiate settlements under review.

Skills

Negotiation Skills

Problem Solving

Organizational Skills

Communication Skills

Conflict Resolution

Flexibility

Education

Bachelor's Degree

Tools

Claims Management Software

Job description

Overview

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.

Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!

Benefits

We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You’ll be surprised by all we have to offer!

• Competitive compensation
• Healthcare benefits package that begins on first day of employment
• 401K retirement plan with company match
• Generous paid time off to support your work-life balance plus 9 ½ paid holidays
• Up to 6 weeks of parental and bonding leave
• Hybrid work schedule (3 days in the office, 2 days from home)
• Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
• Tuition reimbursement after 6 months of employment
• Numerous opportunities for continued training and career advancement
• And much more!

Responsibilities

The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in New York.

• 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, attorneys, outside investigators, rehabilitation personnel, insureds, medical providers, and agents
• Completes timely and efficient claims handling responsibilities

Qualifications

• 5+ years of NY loss time workers compensation experience including litigated claims is required
• Experience with NY Employer’s Liability claims is an added bonus
• 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 support 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

Salary Range

$60,000.00 - 100,000.00 USD per year

The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required.

The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.