Workers Compensation Lien Claims Professional

United States·San DiegoExemptmid

OtherCompensation

3 views0 saves0 applied

Apply Now

Quick Summary

Requirements Summary

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Lien Claims Professional to join our San Diego team!

Technical Tools

ms-office

WHAT WE'RE LOOKING FOR

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Lien Claims Professional to join our San Diego team! This adjusting professional will manage a caseload of settling/settled claims requiring lien resolution, negotiating optimal outcomes within authority parameters to achieve closure while managing cost-containment, and is always service-centric with internal and external partners. Sound like YOU?

Thoroughly reviews assigned claim files and provides detailed summary of lien exposure, vendor involvement, and potential issues. Creates a resolution-focused plan of action, sets appropriate diaries, and calculates appropriate reserves. Updates strategy and reserves as information becomes available within authority parameters. Seeks additional authority timely as needed.

Analyzes vendor billing in each claim file and identifies discrepancies or misalignment with claim documentation. Proactively makes inquiries to obtain information needed for actionable use.

Makes prompt, sound decisions on lien issues and offers that arise and documents thoroughly in claims file. Collaborates routinely with defense counsel, Adjusting, Medical Management, and SIU teams on lien issues. Ensures clear, timely communications to all parties on outstanding issues. Ensures actions are coordinated amongst relevant parties to achieve optimal resolution outcome.

Recommends lien settlements, responds to lien demands at appropriate time and value and effectively negotiates settlement with vendor/provider or refers to defense counsel to adjudicate.

Ensures that caseload is managed in compliance with applicable statutes, regulations, case law, and company standards.

Follows guidance to optimize outcomes and to ensure claims are appropriately and timely addressed.

EDUCATION: Minimum of High School diploma or equivalent certificate required. Bachelor’s degree from an accredited four-year university preferred.

EXPERIENCE: Minimum of three years of workers compensation indemnity claims adjusting experience, or an equivalent combination of education and industry experience, required.

CERTIFICATIONS: Maintains qualifying educational criteria for State of California to manage a caseload of workers compensation claims. Self-Insurance Administrators Certification preferred.

TECHNICAL AND COMPUTER SKILLS: (1) Strong California workers compensation indemnity claims management knowledge; (2) Moderate data analytic skills to perform solid data collection, analysis, and reporting; (3) Proficiency in Microsoft Office/365 suite of applications; (4) Knowledge of claims software systems and able to become proficient in proprietary and vendor software programs.

Manageable Caseloads

Work-Life Balance

Work From Home Program (up to 2 days per week)

Modern Office Setting

Free On-Site Fitness Facility

Free On-Site Garage Parking

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

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.