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Medical Only Claims Representative
Berkshire Hathaway GUARD Insurance Companies. Manage Workers' Compensation medical-only claims from initial report through resolution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing Workers' Compensation claims, including medical-only claims, while ensuring compliance with regulations and effective communication with all stakeholders. Proficient in utilizing business technologies and maintaining accurate documentation throughout the claims process.
Highest-signal resume keywords
Workers' Compensation Claims ManagementMedical Terminology ApplicationAdjuster LicenseMicrosoft Office ProficiencyCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingCompensability DeterminationMedical Bill ReviewDocumentation MaintenanceRegulatory Compliance
Soft Skills
Strong Communication SkillsOrganizational SkillsAttention to Detail
Tools & Technologies
Microsoft Office ApplicationsBusiness Technologies
Certifications & Qualifications
Active Adjuster LicenseHigh School Diploma/GED
Industry Keywords
Workers' CompensationReturn-to-Work CoordinationClaim ManagementMedical Treatment Coordination
About the role
Key responsibilities & impact- Manage Workers' Compensation medical-only claims from initial report through resolution
- Determine compensability and ensure timely delivery of benefits
- Coordinate medical treatment and facilitate early return-to-work efforts
- Review and process medical bills for payment
- Serve as a liaison between injured workers, employers, and medical providers
- Provide guidance regarding Workers' Compensation processes and claim management
- Maintain accurate claim documentation and comply with applicable regulations and company procedures
Requirements
What you’ll need- Proficiency with Microsoft Office applications and other business technologies
- Strong communication, organizational, and customer service skills
- Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
- Strong attention to detail
- Ability to learn new technology and systems
- High School Diploma/GED required
- Active adjuster license, or willingness and ability to obtain and maintain all required state licenses
- Candidates must participate independently in interviews; unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval
Benefits
Comp & perks- Hybrid schedule: 2 days remote / 3 in-office
- Predictable hours (no nights, weekends, or holidays)
- Competitive pay
- Generous PTO
- Medical, dental & vision starting day one
- 401(k)
- Tuition reimbursement
- Longevity bonuses
- Company support for licensing process, including cost, training and compliance with ongoing continuing education requirements