Workers Compensation Claims Technical Specialist (East)

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.

Good Things You Can Count On.

• Hybrid schedule: 2 days remote / 3 in‑office
• Predictable hours (no nights, weekends, or holidays)
• Competitive pay + generous PTO
• Medical, dental & vision starting day one
• 401(k), tuition reimbursement & longevity bonuses

Responsibilities

The Workers Compensation Claims Technical Specialist partners with the Claims Director to manage high-exposure workers compensation claims including catastrophic injuries, serious loss exposures, and other complex matters in the East region. This role services as a technical resource to claims professionals, helping drive effective claim strategies, strong claim outcomes, and operational excellence.

Key Responsibilities

• Work in collaboration with specialty resources (e.g. medical, legal) to manage medical treatment and lost time benefits in cases involving extremely complex issues or potentially high financial exposure.

• Co-manage appropriate claims with the Claims Unit, who will assist with disability and treatment projections; reserving; and investigative suggestions on complex or catastrophic losses.

• Develop strategies to manage losses involving complex issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside or injury severity to achieve resolution through the best possible outcome.

• Facilitate timely claim resolution by leveraging any mitigation opportunities. Participates in reserving and strategy discussions with Claim handlers and senior Management.

• Identify staff skill gaps and collaborate on training recommendations to strengthen performance across service offices.

• Support administrative tasks, respond to inquiries, and assist with operational research as needed.

• Participate in Telephonic and/or onsite File Reviews.

Qualifications

• College degree or 5+ years Workers Compensation experience.

• Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making.

• Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology.

• Ability to effectively present file resolution to internal and/or external stakeholders.

• Negotiation: Master evaluation, negotiation and case resolution skills.

• Ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise.

• Principles of Investigation: Advanced investigative skills including the ability to take statements.

• Value Determination: Advanced ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjust reserves.

• Settlement Techniques: Advanced ability to assess how a claim will be settled, when and when not to make an offer and what should be included in the settlement offer package.

• Legal Knowledge: Thorough knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry.

This role will ideally be based out of the following location: Wilkes‑Barre, PA.

Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.