Workers' Compensation Claims Representative (California)

Berkshire-Hathaway-Direct-Insurance-Company; Omaha (NE); Hybrid; USD 90,000 - 105,000; Full time

Benefits offered by this job

Medical insurance

401(k) with company match

Education assistance

Paid holidays

Job summary

BHDIC is seeking an experienced Workers' Compensation Claims Representative for a fully remote role in the continental US. This position focuses on loss time workers' compensation claims with emphasis on California, including handling settlements and coordinating with claimants, attorneys, and investigators.

Qualifications include a bachelor’s degree with 3+ years of relevant claims experience or 5+ years without a degree, plus Claims Adjuster designation or SIP certification.

Qualifications

• Bachelor's degree with 3+ years of workers' compensation claims experience.
• Alternative: 5+ years workers' comp claims experience without a degree.
• Claims Adjuster designation or SIP Certification is required.

Responsibilities

• Determine compensability and coverage issues for loss time workers' comp claims.
• Manage a caseload across multiple jurisdictions.
• Negotiate and direct settlements under management review.
• Gather medical and factual evidence to determine compensability.
• Direct outside investigations and handle litigation files with authority.
• Coordinate with claimants, attorneys, investigators, rehab personnel, and insureds.

Skills

Experience with lost time claims

Medical terminology

Negotiation and conflict resolution

Verbal and written communication

Education

Bachelor's degree + 3+ yrs claims experience

5+ years claims experience without degree

Claims Adjuster or SIP Certification

Job description

All Jobs > Workers' Compensation Claims Representative (California)

Workers' Compensation Claims Representative (California)
Fully Remote BHDIC Claims

biBerk is seeking an experienced worker’s compensation claims adjuster. The position is fully remote from anywhere in the continental US.

Job Responsibilities

• Determine compensability and/or coverage issues for loss time workers' compensation claims
• Effectively manage a caseload of loss time claims from numerous jurisdictions
• Negotiate and direct settlements under management's review
• Gather medical and factual evidence to determine compensability
• Direct outside investigation and handle litigation files within given authority
• Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers

Qualifications

Skills and Abilities:

• Experience in handling lost time or litigated claims
• Familiarity with medical terminology
• Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
• Excellent verbal and written communication skills needed

Education and Experience:

• Bachelor's degree and 3+ years of relevant claims experience (Workers' Compensation)
• Bachelor's degree not required with 5+ years of relevant claims experience (Workers' Compensation)
• Claims Adjuster Designation or SIP Certification Required
• Experience handling claims in California

About Us

biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. Our ultimate parent, Berkshire Hathaway Inc. (berkshirehathaway.com) is a holding company with diversified interests in a host of industries, including insurance, energy, transportation and manufacturing. Most policies issued through biBerk.com will be underwritten by Berkshire Hathaway Direct Insurance Company ("BHDIC"), which is an AM Best rated A++ insurer.

BHDIC is domiciled in Omaha, Nebraska. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.

BHDIC is excited to announce our comprehensive benefits package with some new and enhanced features for 2026 that include:

• Medical (PPO/HDHP), vision, disability, and life insurance.
• Enhanced dental plan with orthodontia coverage in addition to a standard plan.
• Generous PTO plan for all benefit-time eligible employees.
• Paid company holidays and 4 floating holidays.
• Paid parental leave.
• Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
• Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
• Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
• Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
• Voluntary benefits that include accident, critical illness, and hospital indemnity.
• Employee discount and rewards program on travel, tickets, electronics, home, and more.

In accordance with pay transparency laws and regulations, the following good faith compensation range estimate is being provided. The salary range for this position is $90,000 - $105,000 per year. Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law. This position does not have bonus potential.