Workers' Compensation Claims Representative (New York) ID-11708

April 17, 2025

Overview

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.

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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 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!

Responsibilities

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

Qualifications

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

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