Qureos Mentor

Berkshire Hathaway Homestate Companies

<div><div>Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening in our San Diego office for a <b>Claims Manager </b>to provide strategic and operational leadership for multiple indemnity claim units through direct management and development of Claim Supervisors. This individual will be accountable for achieving organizational objectives related to claim quality, customer experience, financial performance, regulatory compliance, and employee engagement. The Claims Manager establishes and executes claim handling strategies, leverages data and technology to drive performance, ensures adherence to legal and company standards, and fosters a culture of accountability, collaboration, continuous improvement, and professional development.</div>
<h3 class="jobSectionHeader"><b>ESSENTIAL RESPONSIBILITIES</b></h3><div>
<ul><li>Direct, lead, and develop indemnity claim teams through effective management of Claim Supervisors, ensuring alignment with organizational goals, priorities, and performance expectations.</li>
<li>Ensure claims are administered in compliance with applicable statutes, regulations, case law, and company standards, while achieving strong results in internal and external claim audits.</li>
<li>Monitor operational and individual performance metrics, implementing strategies and corrective actions to improve claim quality, productivity, customer satisfaction, and claim outcomes.</li>
<li>Provide oversight and guidance on complex, high-exposure, litigated, and strategically significant claims, ensuring sound claim resolution strategies and appropriate risk management practices.</li>
<li>Promote and safeguard the financial integrity of claim files through timely and accurate reserving, settlement authority oversight, and effective claim cost containment practices.</li>
<li>Utilize data analytics, reporting tools, and emerging technologies to identify trends, measure performance, mitigate risk, and drive operational improvements.</li>
<li>Ensure timely implementation and consistent execution of changes in laws, regulations, industry best practices, and company claim management strategies.</li>
<li>Develop, coach, and mentor Claim Supervisors, fostering professional growth, leadership effectiveness, employee engagement, succession planning, and accountability for results.</li>
<li>Partner with stakeholders across Claims, Underwriting, Legal, Finance, Human Resources, and other departments to achieve business objectives and deliver integrated solutions.</li>
<li>Lead or participate in strategic initiatives, process improvements, organizational objectives, training programs, and cross-functional projects that support operational excellence and continuous improvement.</li>
<li>Manage escalated customer concerns, complaints, and service issues, ensuring timely resolution and preservation of key business relationships.</li>
<li>Represent the organization in client meetings, claim reviews, audits, and other business forums, reinforcing the company's commitment to exceptional service and claim outcomes.</li>
<li>Establish and communicate clear expectations, monitor results, and hold leaders accountable for performance, compliance, service standards, and professional conduct.</li>
<li>Foster a culture of inclusion, collaboration, innovation, and continuous improvement that supports employee development and organizational success.</li>
</ul></div><h3 class="jobSectionHeader"><b>QUALIFICATIONS</b></h3><div>
<ul><li>EDUCATION: Bachelor's degree from an accredited college or university; or minimum 8 years relevant experience; or an equivalent combination of education and technical training combined.</li>
<li>CERTIFICATIONS/LICENSES: Designated for California adjusting or ability to achieve within 9 months from placement into position.</li>
<li>EXPERIENCE: A minimum of 8 years of work experience in workers compensation insurance claims adjusting, claims operations, or a closely related function, with a minimum of 3 years of supervisory experience.</li>
</ul></div><h3 class="jobSectionHeader"><b>TECHNICAL SKILLS</b></h3><div>
<ul><li>Knowledge of workers compensation regulatory requirements and best practices.</li>
<li>Demonstrated proficiency with Microsoft Office/365 applications and able to quickly demonstrate mastery of proprietary and vendor software programs.</li>
<li>Able to effectively analyze data from various sources and identify issues and trends.</li>
</ul></div><h3 class="jobSectionHeader"><b>WHAT WE OFFER</b></h3><ul>
<li>Hybrid Work Schedule (up to 2 days work from home upon eligibility)</li>
<li>Annual bonus eligibility</li>
<li>Immediate Vesting of Retirement Savings + Company Match</li>
<li>Group Health Insurance (Medical, Dental, and Vision)</li>
<li>Life and AD&amp;D Insurance</li>
<li>Long Term Disability Insurance</li>
<li>Hospital Indemnity Insurance</li>
<li>Accident and Critical Illness Insurance</li>
<li>Flexible Savings Accounts</li>
<li>Paid Time Off</li>
<li>Paid Holidays</li>
<li>Paid Community Volunteer Day</li>
<li>Employee Assistance Program</li>
<li>Tuition Reimbursement Program</li>
<li>Employee Referral Program</li>
<li>Diversity, Equity and Inclusion Program</li>
</ul><div><i>This pay scale is an estimate of the salary range the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The actual salary may be above or below the range. The pay scale applies only to this position and only if it is filled in San Diego, California. The pay scale may be different for other positions or in other locations.</i></div><div>
<div><b>ABOUT US</b></div>
<div>With more than 50 years in business, Berkshire Hathaway Homestate Companies (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.</div>
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<div>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&mdash;something we truly value. We&rsquo;ve created an approachable and collaborative atmosphere. Here you&rsquo;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.</div></div></div>

Claims Manager

<div><div><b>WHAT WE'RE LOOKING FOR</b></div>
<div>Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers&rsquo; Compensation Claims Adjuster.</div>
<div></div>
<div>Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations. This individual will continue to build on claims knowledge and claims will increase in number and complexity.
</div><h3 class="jobSectionHeader"><b>RESPONSIBILITIES</b></h3><ul>
<li>Completes classroom training introducing workers&rsquo; compensation claims handling strategies, medical terminology, and legal concepts.</li>
<li>Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records.</li>
<li>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.</li>
<li>Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.</li>
<li>Develops and updates a plan of action for the successful resolution of each claim.</li>
<li>Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.</li>
<li>Reduces fraud through early identification and escalation.</li>
<li>Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.</li>
<li>Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims.</li>
<li>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.</li>
</ul><h3 class="jobSectionHeader"><b>WHAT YOU'D BRING TO THE ROLE
</b></h3><ul><li>Minimum of High School Diploma or equivalent certificate required; Bachelor&rsquo;s degree from four-year college or university is preferred</li>
<li>Ability to communicate effectively verbally and in writing; Spanish Fluency ability preferred</li>
<li>Exceptional interpersonal and customer service skills</li>
<li>Ability to manage and prioritize multiple assignments in a fast-paced environment</li>
<li>Strong organization skills to ensure tasks are completed within hard deadlines</li>
<li>Basic mathematical skills to calculate monetary reserves</li>
<li>Knowledge of Microsoft Word, Powerpoint, Excel, Outlook</li>
</ul><div><i>In accordance with the California Equal Pay Act, the starting hourly wage for this job is $28.7741. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.</i></div></div>

Claims Adjuster Trainee (Spanish Fluency Preferred)

Join Berkshire Hathaway Homestate Companies and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Berkshire Hathaway Homestate Companies

About Company

Claims Manager

Claims Adjuster Trainee (Spanish Fluency Preferred)