Claims Examiner – Trainee

Berkshire Hathaway Homestate Companies - Workers Compensation Division

. Complete classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts .

Posted 9/18/2026full-timeSan Diego • California • United StatesEntry Level💰 $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in workers' compensation claims management, including investigative skills, negotiation, and effective communication with clients and medical professionals. Proficient in managing caseloads, calculating reserves, and ensuring timely claim resolutions.

Highest-signal resume keywords

Workers' Compensation Claims ManagementInvestigative SkillsNegotiation SkillsSpanish FluencyCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Handling StrategiesMedical TerminologyDecision-MakingCalculating ReservesReviewing Medical RecordsAction Plan DevelopmentFraud IdentificationSettlement RecommendationsTask AssignmentClaims Resolution

Soft Skills

Effective CommunicationInterpersonal SkillsOrganizational SkillsCustomer ServicePrioritization

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook

Industry Keywords

Claims ManagementCompensabilityCoverage DeterminationFast-Paced EnvironmentLegal Concepts

About the role

Key responsibilities & impact

Complete classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts
Learn investigative and persuasive communication, negotiation, decision-making, and strategic planning skills
Review and interpret medical records
Conduct and direct investigations of reported claims to determine coverage, compensability, severity, and other relevant information
Make three-point contact telephone calls
Calculate appropriate reserves for each claim and adjust reserves as needed per authority guidelines
Develop and update action plans for successful claim resolution
Assign tasks to Claims Assistants and/or Claims Clerical Assistants and ensure efficient completion
Reduce fraud through early identification and escalation
Communicate with clients, medical providers, and injured workers
Prepare timely and accurate settlement recommendations and negotiate claim settlements
Coordinate attorneys, nurse case managers, investigators, and other professionals involved in claim management
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
Bachelor’s degree from four-year college or university is preferred
Ability to communicate effectively verbally and in writing
Spanish Fluency 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

Benefits

Comp & perks

WFH Hybrid schedule
Free gym in building
Generous Paid Time Off and Holidays
Excellent Benefits (Medical, Dental, Vision, 401k, etc)
Health and Wellness Reimbursement
Tuition Assistance Reimbursement
Discounts across companies such as GEICO, See’s Candies, etc.
Exceptional training and career growth
Fantastic growth and advancement opportunities