Complex Claims Adjuster at Berkshire Hathaway GUARD Insurance Companies handling loss time claims with a focus on the Southeast. Involves negotiations, evidence gathering, and daily communications with various stakeholders.
Responsibilities
Handle loss time complex level claims throughout multiple jurisdictions with a heavy concentration in the Southeast (FL/GA/TX)
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
Requirements
3+ years of loss time workers compensation experience in the Southeast including litigated claims is required
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 adjuster license
Benefits
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
Claims Manager leading inwards reinsurance claims at Santam in Cape Town. Responsible for managing claims from notification to settlement while ensuring compliance with policies.
Intern in Audit & Assurance at Deloitte working on real projects and gaining first - hand insight. Support assurance engagements and develop skills in Accounting, Reporting, and Compliance.
Entry - Level Insurance Advisor role at Haus Buildr for a motivated individual to assist clients and learn about the insurance industry. Flexible work with training and growth opportunities.
Senior IT - Consultant fighting insurance fraud using RiskShield software while supporting clients and optimizing processes in a multicultural environment.
Senior Advisor selling life and health insurance products and services while developing client relationships. Leading sales initiatives and advising clients on strategic opportunities.
Claims Adjuster investigating and managing large claims files in RPMX, a subsidiary of Revau. Focused on claims such as construction and professional liability with strong emphasis on customer satisfaction.
Senior Director in insurance sector at TransUnion, driving growth through data - driven strategies and innovation. Collaborating with stakeholders on industry transformation in life insurance.
Sterility Assurance Expert ensuring sterile processes within pharmaceutical production at Wasserburger Arzneimittelwerk GmbH. Focused on aseptic processes and compliance with regulations and standards.
Referent:in für Qualitäts - und Risikomanagement bei AGAPLESION in Frankfurt am Main. Gestalte aktiv die Zukunft unseres Qualitäts - und Risikomanagements und arbeite eng mit Fachabteilungen zusammen.