Workers Compensation Claims Representative (New York) Position Available In Orange, Florida

Workers’ Compensation Claims Representative (New York)
Job Locations
US-PA-Wilkes Barre | US-PA-Philadelphia | US-GA-Atlanta | US-NJ-Parsippany | US-TX-Dallas | US-AZ-Scottsdale | US-PA-Conshohocken | US-FL-Orlando
Job

ID 2025-5541

# of Openings 1 Category Workers Compensation Claims Company Berkshire Hathaway GUARD Insurance Companies
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 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!
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)