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Claims Examiner Trainee (Spanish Fluency Preferred)

Open 20d

Summary

Processes workers' compensation insurance claims from start to finish, investigating cases, calculating reserves, and ensuring legal compliance while collaborating with medical and legal teams.

WHAT WE'RE LOOKING FOR
Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers’ Compensation Claims Adjuster.
Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations. This individual will continue to build on claims knowledge and claims will increase in number and complexity.

ESSENTIAL RESPONSIBILITIES

  • Successfully completes classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills.
  • Conducts initial investigation of reported claims to determine coverage, compensability, severity, and gather all other relevant information via three-point contact telephone calls.
  • Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
  • Develops and updates a Plan of Action for the successful resolution of each claim.
  • Makes prompt, sound decisions on issues that arise based on the best information available, ensuring that work is performed in accordance with Company guidelines and applicable statutory requirements. Timely escalates issues/red flags to Supervisor.
  • Ensures benefits due injured worker are calculated and issued appropriately in accordance with legal requirements including the issuance of appropriate notices and filings.
  • Fosters a positive and close working relationship with internal and external partners, including Call Center, Medical Management, Special Investigations, and Indemnity Adjusting Staff.

REQUIRED QUALIFICATIONS

  • 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 a plus.
  • Solid 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.
  • To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications and be proficient, or able to become proficient, on applicable databases, systems, and vendor software programs.

WHAT WE OFFER

  • Full Training Program
  • Growth and advancement opportunities
  • Work - Life Balance
  • Manageable Caseloads
  • Modernized Historical Setting in East Sacramento
  • Free Lot Parking

BENEFITS

  • 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
In accordance with the California Equal Pay Act, the starting hourly wage for this job is $31.2500. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.
ABOUT US
With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.

What this application asks

lever

Resume/CV, Full name, Email, Phone, Current location, Current company, LinkedIn URL, GitHub URL, Portfolio URL, Other website

  • We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information or any other characteristic protected by applicable federal, state or local laws and ordinances. We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please let us know. yes / no · optional
  • Optional Cover Letter upload · optional
  • Please review the California Consumer Privacy Act Notice through this provide link: https://www.bhhc.com/legal-policies/california-privacy-policy/ yes / no · optional
  • Pursuant to the Immigration Reform and Control Act of 1986, all applicants who are offered employment must produce documents establishing their identity and authorization for employment in the United States. These documents must be produced no later than three (3) business days after employment commences. In addition, all new hires will be required to verify their employment authorization under oath by signing INS Form I-9 upon commencing employment. Are you legally allowed to work in the United States? choose one
  • Will you now or in the future require Oak River Insurance Company to commence ("sponsor") an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)? This is sometimes called "sponsorship" for an employment-based visa status. choose one
  • If you are under 18 years of age, do you have a work permit if required by applicable state law? choose one
  • Is there anything that would prevent you from working any day or time of the week or prevent you from regularly working overtime? choose one
  • If yes, please specify the reasons. It is not necessary for you to identify unavailability for work because of religious observance or practice, disability or medical condition, or any other protected classification. Subsequent to any job offer, we will consider whether a reasonable accommodation can be made. optional
  • Full Residential Address written answer
  • Available Start Date
  • Salary/Rate Desired
  • How did you hear about this job? choose one · optional
  • If applicable, please select job board choose one · optional
  • If applicable, please provide additional information. optional
  • Education Verification choose one · optional
  • Current or Most Recent Employer - Company Name optional
  • Current or Most Recent Employer - Dates of Employment optional
  • Current or Most Recent Employer - Job Title optional
  • Current or Most Recent Employer - Reason for Leaving choose one · optional
  • Current or Most Recent Employer - Ok to Contact? choose one · optional
  • Previous Employer - Company Name optional
  • Previous Employer - Dates of Employment optional
  • Previous Employer - Job Title optional
  • Previous Employer - Reason for Leaving choose one · optional
  • Previous Employer - Ok to Contact? choose one · optional
  • I have read and fully understand the questions asked in this application. I certify that all of the answers I have given are true, accurate and complete. I understand that the omission and/or misrepresentation of any fact from or on this application or during any interview will result in immediate rejection of my application or if I am hired will be cause for immediate dismissal. Unless I noted otherwise, I authorize the Company to independently contact all my employment references and personal references, as well as the education institutions I have attended. I further authorize the Company to independently inquire about, investigate and obtain copies of any records which relate to me from my former employers and educational institutions. yes / no · optional
  • If hired, I understand that I will be required to abide by all of the rules and regulations of the Company. I understand and agree that nothing in this application shall constitute an offer, a contract or a guarantee of employment for a specific period of time. If hired, I understand that my employment may be terminated with or without cause and with or without notice at any time, at the will of the Company or me. I further understand that no representative or agent of the Company, other than the President as the authority to enter into any agreement for employment, on an individual or collective basis, for any specific period of time, or to make an agreement contrary to the foregoing. I also understand that any agreement modifying at-will employment status, on an individual or collective basis, must be in writing and signed by the President. In addition, I understand that the Company and all plan administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms and conditions of employment. yes / no · optional
  • I understand the Company may obtain, without using the services of a third party investigative consumer reporting agency, public records pertaining to my character, general reputation, personal characteristics or mode of living during its evaluation of my application for employment and, if employed, during my employment. By checking the following box, I waive my right to receive copies of public records obtained by the Company. yes / no · optional
  • Full Legal Name

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