Workers Compensation Lien Claims Professional
San Diego, CA, United States
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?
ESSENTIAL RESPPONSIBILITIES 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.
REQUIRED QUALIFICATIONS 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.
WHAT WE OFFER 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
BENEFITS 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
$66,560 - $85,150 a year 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.
DISCLAIMERS
The Work from Home Program is subject to certain eligibility requirements. The salary range is an estimate. The actual salary may be above or below the range depending on experience, skill, and education.
#J-18808-Ljbffr