Senior Workers' Compensation Claims Representative (New York)
US-TX-Dallas
careers
Req #: 5541
Type: Regular Full-Time
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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. 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: 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. Qualifications: * 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)
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