Workers' Compensation Claims Representative (Northeast)

Biberk; Northern (KY); Hybrid; USD 75,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Vision & dental

PTO

Holidays

Parental leave

401(k) match

Tuition reimbursement

Service recognition

Wellness programs

Voluntary benefits

Employee discounts

Job summary

biBerk is seeking an experienced Workers' Compensation Claims Representative. This fully remote role supports the Northeast region and handles a caseload of loss time workers' compensation claims across multiple jurisdictions from anywhere in the continental US.

You will determine compensability, gather medical evidence, negotiate settlements, and coordinate with claimants, attorneys, and providers, while leveraging strong communication and negotiation skills to drive outcomes.

Qualifications

• Minimum 3 years of workers' compensation claims experience.
• Experience handling claims in multiple jurisdictions (PA, MA, VA, ME, MD).
• Maryand residents encouraged to apply.
• Bachelor's degree preferred.
• 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.

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

Workers' comp claims

Multi-jurisdiction experience

Negotiation

Medical terminology

Communication skills

Education

Bachelor's degree preferred

Job description

All Jobs > Workers' Compensation Claims Representative (Northeast)

Workers' Compensation Claims Representative (Northeast)
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

Requirements

Qualifications

• A minimum of 3 years of experience required
• Experience handling claims in multiple jurisdictions including (but not limited to): PA, MA, VA, ME, MD
• Maryland residents highly encouraged to apply
• Bachelor's degree preferred
• 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

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 $75,000 - $90,000 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.