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Complex Claims Representative

biBerk Insurance Services
Wilkes Barre, PA Remote Other
POSTED ON 1/12/2022 CLOSED ON 1/30/2022

What are the responsibilities and job description for the Complex Claims Representative position at biBerk Insurance Services?

Overview

biBERK, a Berkshire Hathaway company, is currently searching for a Complex Claims Representative to work in our Workers' Compensation unit. The Complex Claims Representative would handle loss claims throughout multiple jurisdiction with heavy concentration in California, Florida, New York, and Texas jurisdictions.

 

Location: 

This is a full-time remote position. Candidates may choose to work full or part-time from our Wilkes Barre, PA office if preferred.

Responsibilities

  • Determine compensability and/or coverage issues for loss time workers' compensation claims
  • Effectively manage a caseload of loss time claims from numerous jurisdictions – namely California, Florida, New York, and Texas
  • 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

Qualifications

  • A minimum of two years' experience required

  • Bachelor's degree preferred

  • Experience in handling lost time or litigated claims

  • Familiarity with medical terminology

  • Experience handling multiple jurisdictions

  • Active adjuster license(s) preferred

  • Minimal travel for licensing or continuing education purposes necessary

  • 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.

 

Benefits:

  • Excellent working hours (8:00 a.m.to 4:30 p.m. M-F) 
  • Generous vacation and sick time
  • Closed on all major holidays
  • Healthcare benefits begin on your first day of employment
  • 401K with company match and profit sharing
  • Tuition reimbursement after six months of employment
  • Become part of Berkshire Hathaway Inc. - One of the world’s most admired companies
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