FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Workers Compensation Claims Operations Specialist
Berkshire Hathaway GUARD Insurance Companies. Partner with Claims leadership to support daily operations and long-term strategic initiatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Workers' Compensation claims handling and adjudication, with a strong focus on process improvement, operational excellence, and quality assurance. Capable of analyzing complex issues and implementing effective solutions while collaborating with various stakeholders to enhance service delivery.
Highest-signal resume keywords
Workers' Compensation Claims HandlingProcess ImprovementQuality Assurance ProgramsProject ManagementMicrosoft Office Proficiency
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 AuditsPerformance ReportingData AnalysisRoot Cause AnalysisWorkflow Enhancement
Soft Skills
Excellent Communication SkillsStrong Organizational AbilitiesAbility to Manage Multiple Priorities
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft PowerPointMicrosoft Access
Industry Keywords
Claims PerformanceOperational StandardsAudit-Ready ProcessesCost ContainmentInvestigative Vendors
About the role
Key responsibilities & impact- Partner with Claims leadership to support daily operations and long-term strategic initiatives
- Establish and monitor quality assurance programs, claims audits, and performance reporting
- Identify trends, recurring issues, and workflow bottlenecks, and implement corrective actions
- Collaborate with training partners to address skill gaps and improve team performance
- Work with medical networks, cost containment partners, investigative vendors, and other claim service providers to resolve issues and strengthen outcomes
- Partner with Compliance to maintain audit-ready processes, documentation, and reporting
- Collaborate with IT to enhance workflows, reporting, business rules, and system functionality
- Develop scalable, documented processes that improve efficiency and reduce manual effort
- Lead or support initiatives that improve claims performance, service delivery, and operational standards
Requirements
What you’ll need- Bachelor's degree or equivalent experience required
- 5+ years of Workers' Compensation claims experience preferred
- Strong understanding of Workers' Compensation claims handling and adjudication practices
- Demonstrated ability to analyze complex issues, identify root causes, and develop effective solutions
- Excellent written and verbal communication skills
- Strong organizational and project management abilities
- Ability to manage multiple priorities in a fast-paced environment
- Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Access
- Experience driving process improvement, operational excellence, or quality initiatives is highly desirable
- 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
- Opportunities to grow
- Supportive leadership
- Collaborative teams