Complex Claims Representative - New England And Midwestern States

Guard Insurance Group Wilkes Barre , PA 18701

Posted 3 weeks ago

Overview

Berkshire Hathaway GUARD welcomes and encourages current employees to grow their careers within the company. Advancing your employment with us enables you to continue leveraging our competitive benefits package and collaborative company culture which you won't find elsewhere. Our organization is rapidly changing and we're seeking to retain talented individuals who wish to establish an ongoing, rewarding career with us. If you're looking for an opportunity to develop your role, keep reading to review our benefits and job openings.

Benefits:

  • Excellent working hours (8:00 a.m.-4:30 p.m. M-F)

  • Generous vacation and sick time

  • Closed on all major holidays

  • Healthcare benefits begin on your first day of employment

  • 401K with company match and profit sharing

  • Tuition reimbursement after six months of employment

  • Remain part of Berkshire Hathaway Inc., one of the world's most admired companies

The Complex Claims Representative would handle loss time CCU level claims throughout Connecticut and Vermont jurisdictions and other jurisdictions as needed. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims.

Responsibilities

The Complex Claims Representative would handle loss time CCU level claims in New England jurisdictions. This could be a great promotional opportunity for someone looking to expand their knowledge and experience of handling lost time claims.

Responsibilities:

  • Handle New England (CT/VT focused)complex claims and other jurisdictions as needed

  • Adjusts loss time claims only - no medical only claims

  • Determines compensability and/or coverage issues for workers' compensation loss time claims

  • Negotiates and completes settlements under management's review

  • Gathers medical and factual evidence

  • Coordinates and directs the activities of outside investigation

  • Manages outside counsel and litigation within given authority

  • Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents

  • Completes timely and efficient claims handling responsibilities

Qualifications

  • Ability to learn claims handling procedures in multiple states

  • Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills

  • Shows positive attitude toward GUARD and claims department

  • Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment

  • Innovative thinker with the ability to multi-task

  • Excellent verbal and written communication skills

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Complex Claims Representative - New England And Midwestern States

Guard Insurance Group