Job Description

WHAT WE'RE LOOKING FOR
Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers’ Compensation Claims Professional.
The Claims Professional Trainee is primarily responsible for the successful completion of the Claims Training program and then successful management of a caseload of workers compensation claims from inception to resolution.  Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations.  This individual will continue to build on claims knowledge and claims will increase in number and complexity.  

Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts.
Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records.
Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making three-point contact telephone calls.
Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
Develops and updates a plan of action for the successful resolution of each claim.
Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
Reduces fraud through early identification and escalation.
Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims.
Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.

WHAT WILL SET YOU APART

Minimum of High School Diploma or equivalent certificate required 
Bachelor’s degree from four-year college or university is preferred, but not required
Minimum one year of related training or general experience
Ability to communicate effectively verbally and in writing; bilingual ability preferred 
Exceptional interpersonal and customer service skills 
Ability to manage and prioritize multiple assignments in a fast-paced environment 
Strong organization skills to ensure tasks are completed within hard deadlines 
Basic mathematical skills to calculate monetary reserves 
Knowledge of Microsoft Word, Powerpoint, Excel, Outlook 

WHY YOU SHOULD APPLY
Health and Wellness:
- Comprehensive medical plans with low premiums for you and your family
- Dental and vision insurance plans
- Healthcare Flexible Spending Accounts
- Company sponsored life, accidental death and dismemberment, short and long term disability insurance
- Wellness reimbursement for health club memberships and other health and mental wellness activities
Financial:
- 401k plan with employer match
- Paid time off with generous accrual policy
- Commuter benefits
- Tuition reimbursement program to help foster your continued growth
- Employee discounts across Berkshire companies including Geico, See's Candies, etc.
Culture:
- Diverse atmosphere focused on inclusion, transparency and integrity
- Relaxed atmosphere with casual dress code
- Paid volunteer time and office-sponsored volunteer events
- Employee Assistance Program to help with your financial, legal, and personal concerns