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Claims Adjuster – Trainee
Berkshire Hathaway Homestate Companies - Workers Compensation Division. Successfully complete classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in workers compensation claims handling, including investigation, reserve calculation, and compliance with statutory requirements. Strong ability to foster relationships with internal and external partners while managing a caseload effectively.
Highest-signal resume keywords
Workers Compensation Claims HandlingInvestigation SkillsReserve CalculationEffective CommunicationCustomer 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 Handling StrategiesMedical TerminologyStatutory RequirementsMathematical SkillsPlan of Action Development
Soft Skills
Interpersonal SkillsOrganizational SkillsTime Management
Tools & Technologies
Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook
Industry Keywords
Claims TrainingThree-Point ContactCompensabilityCaseload Management
About the role
Key responsibilities & impact- Successfully complete classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills
- Conduct initial investigation of reported claims to determine coverage, compensability, severity, and gather relevant information via three-point contact telephone calls
- Calculate appropriate reserves for each claim and adjust reserves as needed per authority guidelines
- Develop and update a Plan of Action for successful resolution of each claim
- Make prompt, sound decisions according to Company guidelines and applicable statutory requirements; escalate issues/red flags to Supervisor
- Ensure benefits due injured workers are calculated and issued appropriately, including required notices and filings
- Foster working relationships with internal and external partners, including Call Center, Medical Management, Special Investigations, and Indemnity Adjusting Staff
- Manage a caseload of workers compensation claims from inception to resolution after successful completion of the Claims Training program
Requirements
What you’ll need- Minimum of High School Diploma or equivalent certificate required
- Minimum one year of related training or general experience
- Ability to communicate effectively verbally and in writing
- Bilingual ability preferred
- Exceptional interpersonal and customer service skills
- Ability to manage and prioritize multiple assignments in a fast-paced environment
- Strong organization skills to ensure tasks are completed within hard deadlines
- Basic mathematical skills to calculate monetary reserves
- Knowledge of Microsoft Word, Powerpoint, Excel, Outlook
- Bachelor's degree from four-year college or university is preferred
Benefits
Comp & perks- Full Training Program
- Growth and advancement opportunities
- Work - Life Balance
- Manageable Caseloads
- Free Lot Parking
- Paid Time Off
- Paid Holidays
- Retirements Savings Match
- Group Health Insurance (Medical, Dental, and Vision)
- Life and AD&D Insurance
- Long Term Disability Insurance
- Accident and Critical Illness Insurance
- Flexible Savings Accounts
- Paid Community Volunteer Day
- Employee Assistance Program
- Tuition Reimbursement Program
- Employee Referral Program
- Diversity, Equity and Inclusion Program