Workers' Compensation Claims Representative (New York) ID-11708

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 a leading small business insurance provider nationwide.

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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 first day of employment
  • 401K retirement plan with company match
  • Enjoy generous paid time off to support your work-life balance plus 9 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
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