Claims Representative – Medical Only

Berkshire Hathaway GUARD Insurance Companies

Claims Representative managing Workers' Compensation medical-only claims for Berkshire Hathaway GUARD Insurance. Ensuring timely benefits delivery and serving as a liaison between various stakeholders.

Posted 7/14/2026full-timeWilkes Barre • Pennsylvania • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Workers' Compensation claims, including determining compensability, coordinating medical treatment, and ensuring compliance with regulations. Proficient in utilizing Microsoft Office applications and understanding medical and legal terminology relevant to claims management.

Highest-signal resume keywords

Workers' Compensation Claims ManagementAdjuster LicenseMedical Bill ReviewCommunication SkillsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingCompensability DeterminationMedical Treatment CoordinationRegulatory ComplianceDocumentation Management

Soft Skills

Organizational SkillsCustomer Service Skills

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Active Adjuster License

Industry Keywords

Workers' CompensationMedical TerminologyLegal Terminology

About the role

Key responsibilities & impact

Manage Workers' Compensation medical-only claims from initial report through resolution.
Determine compensability and ensure timely delivery of benefits.
Coordinate medical treatment and facilitate early return-to-work efforts.
Review and process medical bills for payment.
Serve as a liaison between injured workers, employers, and medical providers.
Provide guidance regarding Workers' Compensation processes and claim management.
Maintain accurate claim documentation and comply with applicable regulations and company procedures.

Requirements

What you’ll need

Proficiency with Microsoft Office applications and other business technologies
Strong communication, organizational, and customer service skills
Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
Strong attention to detail
Ability to learn new technology and systems
High School Diploma/GED required; additional education or relevant claims experience is a plus
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