5 workers compensation claims specialist jobs found in San Diego

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate need for a Contribution Specialist in our San Diego, CA location. This individual will manage a limited caseload of Contribution claims files and assist with special projects for the team as needed.   ESSENTIAL RESPONSIBILITIES Manages a limited caseload of Contribution Consultation files (co-defendant seeking contribution from BHHC).  Analyzes coverage and cumulative trauma injury periods, medical evidence, co-defendant demands and payment records to identify and make recommendations on contribution and reimbursement to co-defendant based on the Labor Code, case law, and facts of the case.   Accurately completes and updates the Contribution Logs and Module, maintains active Diary and Notepad documentation until contribution issues have been resolved. Actively evaluates and codes all Joint Coverage fields in the Contribution Module and Claims...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the...

WHAT WE'RE LOOKING FOR *Must live in the San Diego area* Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opening for a Senior Loss Control Specialist in the San Diego area. 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...

WE'RE LOOKING FOR AN EXPERIENCED UNDERWRITER! Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opening for an Underwriter in our San Diego, CA office. This professional is responsible for evaluating new and renewal business in accordance with established guidelines in order to achieve departmental goals for profitability and growth, while developing productive agency relationships. Demonstrates sound knowledge of applicable statutory regulations, industry best practices, and appropriate application of deductible programs and loss sensitive plans. ONSITE REQUIREMENT This is a hybrid opportunity, requiring initial onsite training and, upon successful completion of same, a minimum requirement of three days per work week in our San Diego, CA office. TEAMWORK RESPONSIBILITIES Should be familiar with standard concepts, practices, and procedures within field, as well as best practices in Underwriting. Relies on experience...

WE'RE LOOKING FOR A SENIOR UNDERWRITER! The Senior Underwriter is responsible for expertly reviewing and evaluating new and renewal business in accordance with established Underwriting guidelines in order to achieve department goals. This individual demonstrates a high level of expertise in agency management, fostering valuable agency relationships with gold standard service. ONSITE REQUIREMENT This is a hybrid opportunity, requiring initial onsite training and, upon successful completion of same, a minimum requirement of three days per work week in our San Diego, CA office. TEAMWORK RESPONSIBILITIES Relies primarily on instruction, pre-established guidelines, and judgment to perform the functions of the job and accomplish goals. Performs a variety of tasks directly under the supervision of designated team members as well as autonomously, with proficiency. Works under direct supervision. Possesses strong verbal and written communication skills with...