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Workers Compensation Claims Representative (California)

72% Flex
Full Remote
  • Remote from:United States
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Workers Compensation Claims Representative (California)

72% Flex
Remote: Full Remote
Work from: United States...

Offer summary

Qualifications:

Minimum 3 years of experience handling claims in CA, Bachelor's degree, SIP Certification required, Knowledge of carrier systems and medical terminology.

Key responsabilities:

  • Determine compensability for loss time claims
  • Manage caseload, negotiate settlements, gather evidence
  • Direct outside investigation, handle litigation files
biBerk Business Insurance logo
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biBerk Business Insurance

SME

http://www.biberk.com/

51 - 200 Employees

Job description

Logo Jobgether

Your missions

biBERK is seeking an experienced worker’s compensation claims adjuster. The position is fully remote from anywhere in the continental US, but preferably the state of CA.

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

Preferred Knowledge

  • A minimum of three years' experience required
  • Experience handling claims in CA
  • Bachelor's degree required
  • SIP Certification required
  • Bilingual candidates (Spanish) preferred
  • Carrier experience 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.

Some Highlights of our Benefits are:

  • Great work environment with growth opportunity
  • Subsidized downtown parking
  • Competitive compensation including bonus structure
  • Generous amounts of vacation and sick time
  • Closed on major holidays
  • 401(k) with company match 
  • A fantastic healthcare package
  • Tuition reimbursement after 6 months of employment

In accordance with pay transparency laws and regulations, the following good faith starting compensation is being provided.  The starting compensation for this position is $75,000 to 87,000 per year.  Final compensation will be based on candidate qualifications, geographic location, and other considerations permitted by law.

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Required profile

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Experience

Spoken language(s)
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Hard Skills

Soft Skills

  • Strong organizational and problem-solving skills
  • Excellent verbal and written communication skills

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