Workers' Compensation Claims Representative (New York)

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.

Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values:  accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!

Benefits:

We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You’ll be surprised by all we have to offer!

• Competitive compensation
• Healthcare benefits package that begins on first day of employment
• 401K retirement plan with company match
• Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
• Up to 6 weeks of parental and bonding leave
• Hybrid work schedule (3 days in the office, 2 days from home)
• Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
• Tuition reimbursement after 6 months of employment
• Numerous opportunities for continued training and career advancement
• And much more!

The Complex Claims Representative would handle loss time CCU level claims throughout multiple jurisdictions with a heavy concentration in New York. 

• Determines compensability and/or coverage issues for workers’ compensation loss time claims
• Negotiates and completes settlements under management’s review
• Gathers medical and factual evidence
• Coordinates and directs the activities of outside investigation
• Manages outside counsel and litigation within given authority
• Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
• Completes timely and efficient claims handling responsibilities

• 5+ years of NY loss time workers compensation experience including litigated claims is required
• Experience with NY Employer’s Liability claims is an added bonus
• Flexibility and positive attitude a must
• Ability to learn claims handling procedures in multiple states as needed
• Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
• Shows positive attitude toward GUARD and claims department
• Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
• Innovative thinker with the ability to multi-task
• Excellent verbal and written communication skills
• Bachelor’s degree or an equivalent combination of education and experience preferred
• Active NY adjuster license a plus