Lien Claims Professional

About the role

Berkshire Hathaway Homestate Companies (BHHC), Workers Compensation Division, seeks a Lien Claims Professional to join our San Diego, CA team. This adjusting professional will manage a caseload of settling/settled claims requiring lien resolution, negotiate optimal outcomes within authority parameters, and maintain service-centric relationships with internal and external partners.

Responsibilities

• Thoroughly reviews assigned claim files and provides detailed summaries 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 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 ensure claims are appropriately and timely addressed.

Requirements

• Minimum of 3 years of workers compensation indemnity claims adjusting experience, or an equivalent combination of education and industry experience.
• Maintains qualifying educational criteria for State of California to manage a caseload of workers compensation claims.
• Self-Insurance Administrators Certification preferred.
• Strong California workers compensation indemnity claims management knowledge.
• Moderate data analytic skills to perform solid data collection, analysis, and reporting.
• Proficiency in Microsoft Office/365 suite of applications.
• Knowledge of claims software systems and ability to become proficient in proprietary and vendor software programs.

Qualifications

• Education: Minimum of High School diploma or equivalent certificate required. Bachelor’s degree from an accredited four-year university preferred.

Skills

• Strong California workers compensation indemnity claims management knowledge.
• Moderate data analytic skills to perform solid data collection, analysis, and reporting.
• Proficiency in Microsoft Office/365 suite of applications.
• Knowledge of claims software systems and ability to become proficient in proprietary and vendor software programs.

Benefits

What We Offer:

• Manageable Caseloads
• Work-Life Balance
• Work From Home Program (up to 2 days per week upon eligibility)
• Modern Office Setting
• Free On-Site Fitness Facility
• Free On-Site Garage Parking
• Paid Time Off
• Paid Holidays
• Immediate Vesting of Retirement Savings + Company Match
• Group Health Insurance (Medical, Dental, and Vision)
• Life and AD&D Insurance
• Long Term Disability Insurance
• Hospital Indemnity Insurance
• Accident and Critical Illness Insurance
• Flexible Savings Accounts
• Employee Assistance Program
• Tuition Reimbursement Program
• Employee Referral Program
• Diversity, Equity and Inclusion Program

About Us

About Us:

• BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.
• We invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success.
• We believe in doing the right thing and creating an approachable and collaborative atmosphere.
• We embrace diversity and foster an environment where our people can be their authentic selves.
• We raise the bar by being curious, remaining customer-focused, and operating with integrity.

Pay

The pay scale for this position is $70,304 - $85,650. 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 in other locations.