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Workers' Compensation Claims Associate
Berkshire Hathaway GUARD Insurance Companies. Participate in a structured training program covering claims evaluation, compensability, medical management, benefit delivery, and return-to-work practices .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evaluating Workers’ Compensation claims, ensuring compliance with laws and company guidelines, and effectively communicating with various stakeholders. Proficient in managing medical treatment authorization and documentation while supporting return-to-work initiatives.
Highest-signal resume keywords
Workers’ Compensation Claims ManagementActive Adjuster LicenseStrong Communication SkillsMicrosoft Office ProficiencyOrganizational 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 EvaluationCompensability DeterminationMedical ManagementBenefit DeliveryReturn-To-Work Practices
Soft Skills
Strong CommunicationOrganizational SkillsMultitasking
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft Outlook
Certifications & Qualifications
Active Adjuster License
Industry Keywords
Claims ProcessCustomer ServiceInsurance ExperienceDocumentationMedical Treatment Coordination
About the role
Key responsibilities & impact- Participate in a structured training program covering claims evaluation, compensability, medical management, benefit delivery, and return-to-work practices
- Evaluate claims and determine compensability in accordance with applicable laws and company guidelines
- Communicate with employers, injured workers, medical providers, and other parties throughout the claim process
- Authorize and monitor medical treatment and coordinate care with providers
- Support return-to-work efforts and timely delivery of appropriate benefits
- Maintain accurate and timely documentation of claim activity
- Develop the skills needed to independently manage Workers’ Compensation claims as training progresses
Requirements
What you’ll need- Associate or bachelor's degree and experience in customer service or service-oriented environment preferred
- Candidates without an associate or bachelor's degree must have a high school diploma or GED and 1-2 years of relevant insurance experience
- Strong communication and organizational skills
- Comfortable with frequent phone communication and multitasking
- Proficient in Microsoft Office (Word, Excel, Outlook)
- Must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses
- 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 costs, training, and ongoing continuing education compliance