Workers' Compensation Complex Claims Adjuster (New Jersey)

Berkshire Hathaway GUARD Insurance Companies•Wilkes Barre, PA

12d•$50,000 - $100,000•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 Responsibilities The Complex Claims Adjuster would handle loss time complex level claims throughout multiple jurisdictions with a heavy concentration in New Jersey. Determines compensability and/or coverage issues for workers’ compensation loss time claims Negotiates and completes settlements under management’s review Gathers medical and factual evidence Coordinates and directs the activities of outside investigation Manages outside counsel and litigation within given authority Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents Completes timely and efficient claims handling responsibilities Qualifications 3+ years of NJ loss time workers compensation experience including litigated claims is required Flexibility and positive attitude a must Ability to learn claims handling procedures in multiple states as needed Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills Shows positive attitude toward GUARD and claims department Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment Innovative thinker with the ability to multi-task Excellent verbal and written communication skills Bachelor’s degree or an equivalent combination of education and 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.

Requirements

3+ years of NJ loss time workers compensation experience including litigated claims is required
Flexibility and positive attitude a must
Ability to learn claims handling procedures in multiple states as needed
Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
Shows positive attitude toward GUARD and claims department
Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
Innovative thinker with the ability to multi-task
Excellent verbal and written communication skills
Active adjuster license

Nice To Haves

Bachelor’s degree or an equivalent combination of education and experience preferred

Responsibilities

Determines compensability and/or coverage issues for workers’ compensation loss time claims
Negotiates and completes settlements under management’s review
Gathers medical and factual evidence
Coordinates and directs the activities of outside investigation
Manages outside counsel and litigation within given authority
Communicates daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
Completes timely and efficient claims handling responsibilities