Head of Workers’ Compensation Claims

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!

We’re seeking a strategic, hands‑on Head of Workers’ Compensation Claims to lead our WC claims ecosystem, driving best‑in‑class outcomes, elevating customer experience, and developing top talent across multi‑site teams. In this senior leadership role, you will partner closely with the Chief Claims Officer and cross‑functional leaders to shape and execute the WC claims strategy.

What You’ll Lead

You’ll provide vision, direction, and operational rigor across Workers’ Compensation claims teams, including functions such as Early Intervention Unit (EIU), Complex Claims Unit (CCU), Stable Claims, Case Management/Utilization Review, Medical‑Only, Repricing, Risk Mitigation, Claims Legal/Vendor Management, and TPA Oversight—ensuring consistency, compliance, and continuous improvement across locations.

What You’ll Do

• Set multi‑year strategy and annual operating plans; establish and monitor KPIs (severity, leakage, duration, return‑to‑work, litigation rates), and drive portfolio‑level performance improvements.
• Champion rigorous investigations, justifiable reserving, proactive disability management with a return‑to‑work focus, fraud identification, and timely, appropriate closure consistent with GUARD’s WC Claims Policy & Procedure framework.
• Build leader capability and bench strength; standardize training and coaching in partnership with L&D and QA; support a culture of accountability, service, and growth. (Aligned to our internal training approach for Claims)
• Maintain compliance across jurisdictions (NCCI, state rules); anticipate regulatory changes and embed them in policy, process, and training.
• Optimize panel counsel outcomes and vendor performance; evolve TPA oversight and service‑level adherence.
• Collaborate with Underwriting, Actuarial, Legal, Data & Analytics, and Finance to inform pricing, trend analysis, and loss cost management; share insights on market dynamics impacting WC.

What You Bring

• 10–15+ years of progressive Workers’ Compensation claims leadership experience with responsibility for multi‑state programs and large teams; mastery of WC technical, legal, and regulatory frameworks.
• A proven record improving severity, duration, litigation, and indemnity/medical outcomes through operating models, analytics, and talent development.
• Strength in building leader capability, standardizing file quality, and scaling training programs across sites.
• Executive‑level influence; adept at partnering with a Chief Claims Officer and cross‑functional executives. 
• Relevant credentials (e.g., AIC, CPCU, state adjuster licenses) strongly preferred.

Compensation

A competitive base salary, STIP, and comprehensive benefits package.