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!

New York Complex Claims Representative

Are you ready to take on a challenging role that involves handling loss time Complex Claims across multiple jurisdictions, with a primary focus on New York? Join our dynamic team and make a difference!

Key Responsibilities:

• Evaluate Compensability and Coverage: Determine compensability and/or coverage issues for workers’ compensation loss time claims.
• Negotiate Settlements: Skillfully negotiate and finalize settlements under management’s review.
• Gather Evidence: Collect medical and factual evidence to support claims.
• Coordinate Investigations: Direct and coordinate the activities of outside investigations.
• Manage Litigation: Oversee outside counsel and litigation within your authority.
• Daily Communication: Engage daily with claimants, attorneys, outside investigators, rehabilitation personnel, insureds, medical providers, and agents.
• Efficient Claims Handling: Ensure timely and efficient handling of claims.

• Experience: Minimum of 5+ years in NY loss time workers compensation, including litigated claims.
• Bonus Skills: Experience with NY Employer’s Liability claims is a plus.
• Flexibility: Adaptable and positive attitude is essential.
• Multi-State Knowledge: Ability to learn claims handling procedures in multiple states as needed.
• Skills: Strong organizational, problem-solving, negotiation, and conflict resolution skills.
• Team Player: Positive attitude towards GUARD and the claims department, with a proven ability to work well in a team environment.
• Innovative Thinking: Ability to multi-task and think innovatively.
• Communication: Excellent verbal and written communication skills.
• Education: Bachelor’s degree or an equivalent combination of education and experience preferred.
• Licensing: Active NY adjuster license is a plus (but not required)