Workers' Compensation Claims Representative II - Litigated Claims

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.

 

• 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

If you are an experienced workers' compensation claims professional who enjoys managing complex claims from investigation through resolution, this role offers the opportunity to take ownership of a multi-state caseload and develop strategies that drive claims toward successful resolution. 

• →Manage a caseload of complex lost-time and litigated workers' compensation claims.
• →Investigate claims and make timely, well-supported compensability decisions.
• →Develop claim strategies focused on appropriate outcomes, settlement opportunities, and timely claim closure.
• →Evaluate medical documentation, legal filings, wage information, and other claim-related evidence.
• →Establish and maintain appropriate reserves based on anticipated claim exposure.
• →Manage litigated claims in partnership with defense counsel, medical providers, investigators, and other external partners.
• →Administer indemnity benefits, wage calculations, payments, and required state filings in accordance with applicable workers' compensation regulations.
• →Identify potential fraud indicators, litigation exposure, and other claim risks and develop appropriate action plans.
• →Provide responsive, professional service to injured workers, employers, attorneys, medical providers, and other stakeholders.
• →Independently manage a high-volume caseload while meeting expectations for quality, compliance, productivity, and claim resolution.

• 3+ years of experience handling complex, litigated lost-time workers' compensation claims, with demonstrated Nevada claims-handling experience.
• Experience handling multi-state workers' compensation claims; experience with California, Colorado, and/or Arizona claims is preferred.
• Active Nevada adjuster license and the ability to obtain and maintain other required state licenses. We will support required licensing costs, training, and continuing education.
• Experience working with defense counsel, medical providers, and other external claim partners.
• Strong knowledge of workers' compensation claim investigation, compensability, reserving, litigation management, and resolution strategies.
• Ability to successfully manage a high-volume caseload while meeting regulatory and service deadlines.
• Strong written and verbal communication, organization, and time-management skills.
• Bachelor's degree or an equivalent combination of education and relevant experience preferred.

This role may be based out of the following office location: Scottsdale, AZ.

 

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