10 claims assistant senior jobs found in Sacramento

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Lien Claims Professional to join our Sacramento 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?   ESSENTIAL RESPONSIBILITIES 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...

WHAT WE'RE LOOKING FOR 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’ Compensation Claims Adjuster.   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.     ESSENTIAL RESPONSIBILITIES Successfully completes classroom training introducing workers...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Background & Data Intelligence Analyst to join its Special Investigations Unit! This individual will aid the SIU team in the investigation of insurance fraud by performing research on a person or entity's background through subscription-based and publicly-available forums, as well as perform data mining of internal systems and subsequent analysis pertinent to Claimant, Premium, and Provider investigations.   Must be legally authorized to work in the United States, without requiring, now or in the future, sponsorship for employment visa status.   ESSENTIAL RESPONSIBILITIES Perform data mining of internal systems to detect claims and billing patterns relevant to specific investigations. Collect and organize data for timely submission to regulatory and law enforcement authorities. Conduct research using publicly available and subscription-based databases; maximize the...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Devision, has an opening in our Sacramento office for a Claims Unit Supervisor. This individual will provide oversight and guidance to a team of Claims Professionals in the strategic management of workers' compensation indemnity claims while ensuring gold-standard service to injured workers and our insureds.   LEADERSHIP RESPONSIBILITIES Leads a unit of five to seven Claims Professionals of varying experience levels.  Establishes a workplace culture of professionalism, collaboration and inclusion, and excellence in service, aligning with our corporate mission and shared values. Establishes common goals.  Provides effective performance feedback through employee recognition, rewards, and disciplinary action, with the assistance of Human Resources as necessary. Able to transition between Supervisor and Claims Professional roles to effectively complete tasks and accomplish...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies has an immediate opportunity for an experienced workers compensation adjuster. We're looking for self-starters who can work under minimum direction, can achieve defined results, and are willing to accept ownership for their work product. This Claims Professional is responsible for the management of a caseload of workers compensation indemnity claims from inception to resolution, performing initial investigation and compensability determination, reserve analysis and strategic planning, timely benefit administration to injured workers, and coordination of medical care and legal process, while maintaining the highest level of service to our insureds.   ESSENTIAL RESPONSIBILITIES Conducts the investigation of reported claims via three-point contact calls to determine coverage, compensability and severity, and to gather all other relevant information, documenting all relevant information thoroughly and...

WHAT WE'RE LOOKING FOR BHHC has an immediate opportunity for experienced Workers Compensation Claims Professionals. This position requires a self-starter who can work under minimum direction, can achieve defined results, and willing to accept ownership for their work product. The Senior Claims Professional is responsible for the management of a complex caseload of workers compensation indemnity claims from inception to resolution.  This individual works under general supervision with elevated reserve and settlement parameters and encouraged to participate in special projects focused on process efficiency.    RESPONSIBILITIES Helps injured workers achieve rapid and full medical recovery and early, safe return to work through effective, efficient and timely medical treatment and return-to-work support. Effectively communicates with injured workers and employers. Demonstrates expertise and empathy, building trust and moving the claim forward, including timely...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Program Manager | Sacramento, CA Are you looking for an impactful job in an energetic culture where you can apply your knowledge and experience? Enjoy flexibility - Sacramento, CA Sedgwick office onsite preferred. May be open to hybrid or remote, telecommuter setting in California. Position requires approximately 5% in-state travel per year. Be a part of a rapidly growing, industry-leading global company known for its...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is searching for a Director of Data Strategy to lead the development and execution of the company's enterprise data strategy. This visionary will set the course for how data is collected, governed, shared, and used across BHHC for innovation in analytics/AI and improved customer outcomes, partnering with key strategic leaders in Claims, Finance, Analytics, Actuarial, Underwriting, HR, Marketing, and IT to ensure we have a clear roadmap that strengthens data quality, trust, accessibility, and business value. Must be legally authorized to work in the United States, without requiring, now or in the future, sponsorship for employment visa status. ESSENTIAL RESPONSIBILITIES   STRATEGIC LEADERSHIP Build and execute the enterprise data strategy that drives our core business priorities and long-term direction. Translate strategic goals into actionable workstreams that improve data quality,...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Loss Control Supervisor in Northern California to oversee and develop a team. BHHC prides itself on best-in-class service - you'll provide oversight of service delivery, including strategy, training, mitigation of costs, and quality control assessment and improvement. You'll also represent the Company in communications and meetings with insurance brokers and broker Loss Control representatives. Sound like the right fit for you? We'd love to hear from you!   ESSENTIAL RESPONSIBILITIES Identifies, develops and implements Loss Control processes and procedures to ensure best-in-class service to customers, brokers and insureds.  Reviews Underwriting requests for Loss Control and oversee assignment of work to Vendors or employee staff, escalating requests to Vice President of Loss Control (VPLC) as appropriate. Conducts surveys and service visits to assigned accounts....

The Senior Loss Control Specialist provides expert risk management solutions and loss control services to current and prospective policyholders, identifying potential hazards and risks within the workplace, assessing the insured's safety protocols and procedures, and implementing effective strategies to minimize accidents or injuries and mitigate subsequent workers' compensation claims. This professional provides valuable insights to Underwriting as to workplace findings, assisting them in properly pricing risk, and works closely with our larger policyholders to enhance the overall safety culture within the organization, resulting in fewer incidents and improved operational efficiency. Extensive travel utilizing various forms of transportation, including but not limited to car, plane or train, required.    ESSENTIAL RESPONSIBILITIES Manages assigned book of business within a given territory, ensuring service plans are in place, surveys and resurveys are competed, high...