$50,000–$100,000 Per Year
Claims Processing, Communication Skills, Documentation, Establish Priorities, File Management, Healthcare Providers, Insurance, Leadership, Litigation, Negotiation Skills, Organizational Skills, Presentation/Verbal Skills, Regulatory Requirements, Team Player, Worker's Compensation, Writing Skills
Wilkes Barre, Pennsylvania
Overview:
Good Things Start Here.
Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.
Good Things You Can Count On.
- 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
Responsibilities:
The Complex Claims Adjuster handles New Jersey loss time workers’ compensation claims, including litigated files, across multiple jurisdictions.
- Determine compensability and coverage for workers’ compensation claims
- Negotiate and complete settlements within established authority levels
- Gather and review medical and factual evidence
- Coordinate outside investigations
- Manage defense counsel and litigation activity
- Communicate with claimants, attorneys, investigators, rehabilitation providers, insureds, medical providers, and agents
- Maintain claim handling and documentation in accordance with company and regulatory requirements
Qualifications:
- 3+ years of experience handling New Jersey loss time workers’ compensation claims, including litigated claims
- Ability to handle claims across multiple jurisdictions
- Organizational and prioritization skills
- Ability to evaluate claims, negotiate settlements, and manage multiple open files
- Strong written and verbal communication skills
- Bachelor’s degree or equivalent experience preferred
- Active adjuster license
Salary $50,000 - $100,000
In accordance with applicable pay transparency laws, this range represents a good‐faith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.
This role may be based out of any of our office locations, including:
New York, NY; Parsippany, NJ; Conshohocken, PA; Wilkes‑Barre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA.
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Berkshire Hathaway GUARD Insurance Companies