Claims Adjuster (Spanish Fluency Preferred)

Berkshire Hathaway Homestate Companies is a dynamic organization seeking bright individuals for a rewarding career as a Workers’ Compensation Claims Adjuster. The role involves managing a caseload of workers compensation claims, from inception to resolution, while building knowledge in claims handling and client relations. Responsibilities Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making 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 Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently Reduces fraud through early identification and escalation Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim Skills Minimum of High School Diploma or equivalent certificate required Ability to communicate effectively verbally and in writing 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 Knowledge of Microsoft Word, Powerpoint, Excel, Outlook Bachelor's degree from four-year college or university Spanish Fluency ability Benefits Unparalleled financial strength and stability Fantastic growth and advancement opportunities WFH Hybrid schedule Free gym in building 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. Company Overview Financial Strength and Integrity 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. It was founded in 1970, and is headquartered in Omaha, Nebraska, USA, with a workforce of 501-1000 employees. Its website is