Workers Compensation Lien Claims Professional

Bhhc

Omaha (NE)

On-site

USD 65,000 - 90,000

Full time

14 days+

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Benefits offered by this job

Work-Life Balance

Work From Home

Modern Office

On-site Fitness

Garage Parking

Paid Time Off

Paid Holidays

Retirement Savings Match

Health Insurance

Long Term Disability

Flexible Savings Accounts

Employee Assistance Program

Tuition Reimbursement

Employee Referral Program

DEI Program

Job summary

Berkshire Hathaway Homestate Companies, Workers Compensation Division, in Omaha, seeks a Lien Claims Professional to manage a caseload of lien resolution, negotiate outcomes within authority, and support cost containment.

You will review files, analyze vendor billing, and coordinate with defense counsel and SIU teams to ensure timely, compliant resolutions.

The role offers a competitive benefits package and a collaborative, service‑oriented environment in a modern office with work‑from‑home days.

Qualifications

Minimum of three years of workers' compensation indemnity claims adjusting experience.
Bachelor’s degree from an accredited four-year university preferred.

Responsibilities

Review claim files and summarize lien exposure, vendor involvement, and issues.
Analyze vendor billing for discrepancies and obtain information for action.
Make prompt decisions on lien issues; coordinate with defense counsel and SIU teams to resolve.
Negotiate settlements with vendors/providers; refer to defense counsel when needed.
Ensure caseload compliance with statutes, regulations, and company standards.
Communicate clearly with all parties about outstanding issues.

Skills

Lien resolution

Negotiation

Case management

Analytical thinking

Microsoft Office

Education

High School Diploma

Bachelor’s degree preferred

Tools

Microsoft Office 365

Claims software

Job description

WHAT WE'RE LOOKING FOR

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Lien Claims Professional to join our Omaha team! This adjusting professional will manage a caseload of settling/settled claims requiring lien resolution, negotiating optimal outcomes within authority parameters to achieve closure while managing cost-containment, and is always service‑centric with internal and external partners. Sound like YOU?

Responsibilities

Thoroughly reviews assigned claim files and provides detailed summary of lien exposure, vendor involvement, and potential issues. Creates a resolution‑focused plan of action, sets appropriate diaries, and calculates appropriate reserves. Updates strategy and reserves as information becomes available within authority parameters. Seeks additional authority timely as needed.
Analyzes vendor billing in each claim file and identifies discrepancies or misalignment with claim documentation. Proactively makes inquiries to obtain information needed for actionable use.
Makes prompt, sound decisions on lien issues and offers that arise and documents thoroughly in claims file. Collaborates routinely with defense counsel, Adjusting, Medical Management, and SIU teams on lien issues. Ensures clear, timely communications to all parties on outstanding issues. Ensures actions are coordinated amongst relevant parties to achieve optimal resolution outcome.
Recommends lien settlements, responds to lien demands at appropriate time and value and effectively negotiates settlement with vendor/provider or refers to defense counsel to adjudicate.
Ensures that caseload is managed in compliance with applicable statutes, regulations, case law, and company standards.
Follows guidance to optimize outcomes and to ensure claims are appropriately and timely addressed.

Education

Minimum of High School diploma or equivalent certificate required. Bachelor’s degree from an accredited four‑year university preferred.

Experience

Minimum of three years of workers compensation indemnity claims adjusting experience, or an equivalent combination of education and industry experience, required.

Certifications

Maintains qualifying educational criteria to manage a caseload of workers compensation claims. Self‑Insurance Administrators Certification preferred.

Technical and Computer Skills

Strong workers compensation indemnity claims management knowledge; moderate data analytic skills to perform solid data collection, analysis, and reporting; proficiency in Microsoft Office/365 suite of applications; knowledge of claims software systems and able to become proficient in proprietary and vendor software programs.

Benefits