Claims Representative - Medical Only

Berkshire Hathaway GUARD Insurance Companies•Wilkes-Barre, PA

10d•Hybrid

About The Position

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

Requirements

Proficiency with Microsoft Office applications and other business technologies
Strong communication, organizational, and customer service skills
Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
Strong attention to detail
Ability to learn new technology and systems
High School Diploma/GED required
Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.

Nice To Haves

additional education or relevant claims experience is a plus

Responsibilities

Manage Workers' Compensation medical-only claims from initial report through resolution.
Determine compensability and ensure timely delivery of benefits.
Coordinate medical treatment and facilitate early return-to-work efforts.
Review and process medical bills for payment.
Serve as a liaison between injured workers, employers, and medical providers.
Provide guidance regarding Workers' Compensation processes and claim management.
Maintain accurate claim documentation and comply with applicable regulations and company procedures.