Workers' Compensation Claims Representative (California)

Berkshire Hathaway Direct Insurance Company; United States; Remote; USD 90,000 - 105,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Disability Insurance

Life Insurance

Paid Time Off

Company Holidays

401(k) with company match

Job summary

biBerk is seeking an experienced Workers' Compensation Claims Representative to handle California claims in a fully remote role across the continental United States. The position requires strong experience with loss time claims, negotiation, and evidence gathering to determine compensability.

Ideal candidates will have a Bachelor's degree (or equivalent 5+ years of relevant experience), credentials such as a Claims Adjuster designation or SIP, and proven ability to manage California-specific

Qualifications

• Experience handling lost time or litigated claims.
• Familiarity with medical terminology.
• Strong organizational, problem solving, negotiation and conflict resolution skills.
• Excellent verbal and written communication skills.

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.

Skills

Experience handling lost time or litig

Familiar with medical terminology

Organizational skills

Negotiation skills

Written and verbal communication

Education

Bachelor's degree (or 5+ years experience)

Claims Adjuster designation or SIP

Experience in California claims

Job description

All Jobs > Workers' Compensation Claims Representative (California)

Workers' Compensation Claims Representative (California)
Fully Remote • United States • BHDIC Claims

Full-time

Description

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

Requirements

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.