Remote Workers' Compensation Claims Representative

About the Role

We are looking for a Remote Workers' Compensation Claims Representative to join our team at Berkshire Hathaway Direct Insurance Company (BHDIC). This position allows you to work remotely from anywhere in the continental US while managing a caseload of workers' compensation claims. As a leading insurer, BHDIC is known for its financial stability and exceptional service, making this an exciting opportunity to contribute to our mission of simplifying the insurance purchasing process.

What You'll Do

• Determine compensability and coverage issues for loss time workers' compensation claims.
• Effectively manage a caseload of loss time claims from various jurisdictions.
• Negotiate and direct settlements under management's review.
• Gather medical and factual evidence to determine compensability.
• Direct outside investigations and handle litigation files within your authority.
• Coordinate and maintain contact with claimants, their attorneys, outside investigators, and rehabilitation personnel.
• Maintain routine contact with insureds, account liaisons, and medical providers.

Requirements

• A minimum of 5 years of experience in handling workers' compensation claims.
• Experience handling claims in multiple jurisdictions, including Florida and Georgia.
• A Bachelor's degree is required.
• Carrier experience is preferred.
• Experience in 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.

Nice to Have

• Experience with claims management software.
• Knowledge of state regulations regarding workers' compensation.
• Certification in claims adjusting.

What We Offer

• Medical (PPO/HDHP), vision, disability, and life insurance.
• Enhanced dental plan with orthodontia coverage.
• 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 for vacations every 5 years of employment.
• Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs.
• Voluntary benefits such as accident, critical illness, and hospital indemnity.
• Employee discount and rewards program on travel, tickets, electronics, home, and more.