Workers' Compensation Claims Representative

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🏄 California – Remote

🏄 California – Remote

💵 $90k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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biBerk Business Insurance

WebsiteLinkedInAll Job Openings

51 - 200 employees

🤝 B2B

💸 Finance

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 as well as routine contact with insureds, account liaisons and medical providers

🎯 Requirements

• A minimum of 3 years of experience required • Experience handling claims in multiple jurisdictions • Bachelor's degree required • SIP Certification required • 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

🏖️ 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 that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs. • Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment. • Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs. • Voluntary benefits that include accident, critical illness, and hospital indemnity. • Employee discount and rewards program on travel, tickets, electronics, home, and more.