Workers' Compensation Claims Representative (New York)

Berkshire Hathaway Guard; Wilkes-Barre, City of Watertown (Luzerne County, NY); Hybrid; 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 multiple jurisdictions. This role emphasizes the importance of negotiation, problem-solving, and strong communication skills, as you will interact with claimants, attorneys, and medical providers daily. The company prides itself on its inclusive culture and offers a hybrid work schedule, competitive compensation, and numerous opportunities for career advancement. If you are an innovative thinker with a positive attitude and a passion for helping others, this opportunity could be your next exciting career move.

Benefits

Competitive Compensation

Healthcare Benefits

401K with Company Match

Generous Paid Time Off

Parental Leave

Tuition Reimbursement

Longevity Awards

Career Advancement Opportunities

Qualifications

• 5+ years of experience in NY loss time workers compensation claims.
• Strong negotiation and organizational skills are essential.

Responsibilities

• Handle CCU level claims with a focus on New York jurisdiction.
• Negotiate settlements and manage outside counsel effectively.

Skills

Negotiation Skills

Problem Solving

Conflict Resolution

Organizational Skills

Communication Skills

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 the 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 the first day of employment
• 401K retirement plan with company match
• Enjoy 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, and/or attorneys, outside investigators, rehabilitation personnel, as well as 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 supports 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