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-timeWalnut Creek • California • United StatesEntry Level💰 $34 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 various stakeholders. Proficient in analyzing medical records and calculating reserves while ensuring compliance with authority guidelines.

Highest-signal resume keywords

Workers' Compensation Claims ManagementInvestigative SkillsNegotiation SkillsMedical Record InterpretationMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Handling StrategiesCalculating ReservesAction Plan DevelopmentFraud IdentificationSettlement Recommendations

Soft Skills

Effective CommunicationInterpersonal SkillsCustomer Service SkillsOrganizational SkillsDecision-Making Skills

Tools & Technologies

DatabasesVendor Software Programs

Certifications & Qualifications

High School DiplomaBachelor's Degree (Preferred)

Industry Keywords

Workers' CompensationClaims ManagementMedical TerminologyLegal ConceptsStrategic Planning

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 their correct and efficient completion
Reduce fraud through early identification and escalation
Communicate with clients, medical providers, injured workers, and other external parties
Prepare timely and accurate settlement recommendations within designated authority parameters
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
Proficient in the Microsoft Office Suite of applications
Proficient, or able to become proficient, on applicable databases, systems, and vendor software programs

Benefits

Comp & perks

Unparalleled financial strength and stability
Fantastic growth and advancement opportunities
WFH Hybrid schedule
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