Medical Claims Representative – Paid Family Leave, Disability

Berkshire Hathaway GUARD Insurance Companies

Medical Claims Representative at Berkshire Hathaway GUARD Insurance Companies managing Paid Family Leave/Disability claims in New York. Focusing on communication and coordination between employer and employee for benefits provision.

Posted 5/30/2026full-timeWilkes Barre • Pennsylvania • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Responsible for communication, coordination, and administration of Paid Family Leave/Disability Claims within New York
Determination of compensability and the prompt provision of benefits
Work as a liaison between the employer and employee to provide information about Paid Family Leave/Disability
Responsible for informing employers on the proper management and impact of Paid Family Leave/Disability claims

Requirements

What you’ll need

Computer Literacy with strong Microsoft Office capabilities
Proficiency in understanding medical and legal terminology
Strong attention to detail and focus on technology
A solid commitment to providing exceptional customer service
Excellent communication and organizational skills
Able to successfully pass adjuster licensing exam upon hire
Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Microsoft Officemedical terminologylegal terminologycustomer service

Soft Skills

attention to detailcommunication skillsorganizational skills

Certifications

adjuster license