Workers' Compensation Claims Representative

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $90k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

biBerk Business Insurance

WebsiteLinkedInAll Job Openings

51 - 200 employees

🛡️ Insurance

🤝 B2B

💸 Finance

Insurance • B2B • Finance

biBerk Business Insurance is a digital-first insurance provider focused on small business insurance, offering policies such as workers' compensation, professional liability (E&O), general liability, business owners policies (BOP), commercial auto, umbrella, and cyber coverage. Part of the Berkshire Hathaway Insurance Group and backed by A++ rated carriers, biBerk lets small businesses get online quotes, purchase policies, manage claims and documents, and access resources to simplify insurance. The company serves a wide range of small business industries (e. g. , restaurants, retail, contractors, IT, healthcare) and emphasizes instant coverage, cost savings, and direct-to-business underwriting.

📋 Description

• 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 • Maintain routine contact with insureds, account liaisons, and medical providers

🎯 Requirements

• Claims Adjuster Designation or SIP Certification required • Minimum of 3 years of experience required • Experience handling claims in California • Bachelor's degree required • Carrier experience preferred • Experience handling lost time or litigated claims • Familiarity with medical terminology • Strong organizational, problem-solving, negotiation, and conflict-resolution skills • Excellent verbal and written communication skills

🏖️ Benefits

• Medical (PPO/HDHP), vision, disability, and life insurance • Enhanced dental plan with orthodontia coverage in addition to a standard plan • Generous PTO plan for all benefit-time eligible employees • Paid company holidays and 4 floating holidays • Paid parental leave • Employee Retirement Savings Plan/401(k) with company match and immediate vesting • Education Assistance Program offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs • Service Recognition Program providing a monetary award toward a vacation every 5 years of employment • Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs • Voluntary accident, critical illness, and hospital indemnity benefits • Employee discount and rewards program on travel, tickets, electronics, home, and more