Berkshire Hathaway Homestate Companies - Workers Compensation Division

Manager

• Direct, lead, and develop indemnity claim teams through effective management of Claim Supervisors, ensuring alignment with organizational goals, priorities, and performance expectations.
• Ensure claims are administered in compliance with applicable statutes, regulations, case law, and company standards, while achieving strong results in internal and external claim audits.
• Monitor operational and individual performance metrics, implementing strategies and corrective actions to improve claim quality, productivity, customer satisfaction, and claim outcomes.
• Provide oversight and guidance on complex, high-exposure, litigated, and strategically significant claims, ensuring sound claim resolution strategies and appropriate risk management practices.
• Promote and safeguard the financial integrity of claim files through timely and accurate reserving, settlement authority oversight, and effective claim cost containment practices.
• Utilize data analytics, reporting tools, and emerging technologies to identify trends, measure performance, mitigate risk, and drive operational improvements.
• Ensure timely implementation and consistent execution of changes in laws, regulations, industry best practices, and company claim management strategies.
• Develop, coach, and mentor Claim Supervisors, fostering professional growth, leadership effectiveness, employee engagement, succession planning, and accountability for results.
• Partner with stakeholders across Claims, Underwriting, Legal, Finance, Human Resources, and other departments to achieve business objectives and deliver integrated solutions.
• Lead or participate in strategic initiatives, process improvements, organizational objectives, training programs, and cross-functional projects that support operational excellence and continuous improvement.
• Manage escalated customer concerns, complaints, and service issues, ensuring timely resolution and preservation of key business relationships.
• Represent the organization in client meetings, claim reviews, audits, and other business forums, reinforcing the company's commitment to exceptional service and claim outcomes.
• Establish and communicate clear expectations, monitor results, and hold leaders accountable for performance, compliance, service standards, and professional conduct.
• Foster a culture of inclusion, collaboration, innovation, and continuous improvement that supports employee development and organizational success.

Claims Manager

Supervisor

• Ensure team member completion of all medical claims training topics, and effective application of training on the job; support training topics with various resources including one-on-one coaching and practical application exercises in Compass, CXP and Salesforce
• Ensure successful transition to and completion of appropriate indemnity training topics, and transition to an indemnity team; identify and recommend appropriate timing of and indemnity team placement
• Manage the workflow of the unit including planning, assigning, and directing work; ensure continuing education requirements of the team are met and maintained timely
• Ensure the team manages claims in compliance with Company policies, applicable statutes, regulations, regulations and case law across various jurisdictions; monitor claim management and provide direction and intervention as appropriate
• Ensure claim reserves and benefit payments are accurate and timely
• Manage the team’s efforts to produce successful claim outcomes for providing compassionate care to our recovering workers while achieving high service levels, timely medical management decisioning, prompt claim closures, effective claim cost containment, achievement of goals, and satisfactory claim audits
• Successfully implement changes to the laws and regulations governing claims handling and communicate their impact to the processes, tactics, and strategies of claim management
• Address policy exceptions, inquiries, escalated issues, and complaints appropriately
• Introduce and orient team to internal network of Medical Management, Legal and Subrogation teams, as well as external legal and investigation vendors; facilitate relationship-building
• Ensure unit achieves organizational goals via prompt claim closures, high client satisfaction with service, and effective, strategic cost containment
• Foster and guide the personal and professional development and growth of individual team members to help them build successful and satisfying careers while producing excellent results
• Identify and communicate training needs, assist with facilitating training topics, and support the concepts and techniques taught throughout the training program
• Actively reinforce and support Company programs and initiatives regarding strategic and tactical innovation and improvement
• Maintain workplace culture of professionalism, collaboration and inclusion, and excellence in service, aligning with our Mission and Shared Values; serve as a role model by embodying the highest standards of performance, behavior, and ethical standards

Transition Unit Supervisor

Analyst

• Successfully demonstrates understanding of foundational concepts of audit submission and audit procedures, payroll examination and assignment of classification codes, and usage of applicable Bureau/State online/call center resources acquired through on-the-job training.
• Reviews documentation submitted via customer portal. Proactively communicates with policyholders and agents as needed to gather necessary information, asking basic questions to verify classification codes and determine final payroll.
• Identifies obvious issues and concerns and timely notifies Supervisor for review.
• Summarizes audit findings utilizing company software, providing general descriptions to justify classification codes. Creates basic worksheets to verify final audited payroll.
• Identifies discrepancies compared to pre-audit classification codes and states. Contacts internal/external stakeholders regarding unusual items and timely forwards to management for discussion and approval.
• Conducts research on applicable Bureau websites and call centers as needed to complete the final audit. Becomes familiar with basic company protocols and workflows and references as needed.
• Performs basic review of policy details. Works with Underwriting to ensure correct application of classification codes. Timely forwards discrepancies and concerns to Supervisor for review.
• Processes final audit and revised final audit transactions on policies. Provides basic summary of audit development to justify AP/RP. Prepares to answer basic questions regarding development.
• Correctly identifies and forwards disputes to resolution team.
• Responds to basic inquiries regarding the premium audit process and standard Finance workflows. Forwards all other inquiries to Supervisor for review.
• Becomes familiar with Company communication guidelines and standard operating procedures. Provides gold-standard service to internal and external stakeholders, timely responding to emails and phone calls, transferring inquiries as appropriate, and providing general assistance to all business partners.
• Performs other related duties or special projects as assigned by leadership or as situation dictates.

Premium Audit Analyst

Learning and Development

• Leads and develops the Claims Career-Long-Learning team, creating impactful learning content for adjusting roles and implementing practices and processes that can scale across multiple adjusting teams and Claims ancillary teams.
• Collaborates closely with Claims leadership to ensure initiatives are addressing critical needs across all aspects of a claims lifecycle and leverages diverse delivery methods aligned with adult learning principles to improve workforce performance.
• Designs and develops L&D toolkits for needs analysis, instructional design, and post-training effectiveness assessments.
• Facilitates the development of customized training programs to meet the needs of various adjusting job roles. Upgrades existing training with routine improvements in content, format, and/or delivery.
• Leverages technology to improve training efficiency and engagement tools, including, but not limited to, e-learning platforms, interactive software, and AI-enabled solutions.
• Personally presents or leads training on some topics and identifies and prepares subject-matter experts with an aptitude for training to serve as presenters on technical topics.
• Develops and maintains relationships with external vendors to provide specialized training programs as needed.
• Continues to develop expertise on effectively creating and delivering training programs that improve performance.

Claims Learning and Development Supervisor

Claims Specialist

• Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts.
• Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records.
• Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making three-point contact telephone calls.
• Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
• Develops and updates a plan of action for the successful resolution of each claim.
• Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
• Reduces fraud through early identification and escalation.
• Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
• Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims.
• Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.

Claims Examiner – Trainee

• Successfully completes classroom training introducing workers compensation claims handling strategies, medical terminology, statutory requirements, and investigative skills.
• Conducts initial investigation of reported claims to determine coverage, compensability, severity, and gather all other relevant information via three-point contact telephone calls.
• Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
• Develops and updates a Plan of Action for the successful resolution of each claim.
• Makes prompt, sound decisions on issues that arise based on the best information available, ensuring that work is performed in accordance with Company guidelines and applicable statutory requirements. Timely escalates issues/red flags to Supervisor.
• Ensures benefits due injured worker are calculated and issued appropriately in accordance with legal requirements including the issuance of appropriate notices and filings.
• Fosters a positive and close working relationship with internal and external partners, including Call Center, Medical Management, Special Investigations, and Indemnity Adjusting Staff.

Claims Adjuster, Spanish Fluency Preferred

Client Services Representative

• Conducts prospect meetings with prospective policyholders and brokers and conducts onboarding meetings with assigned new policyholders and brokers upon policy issuance.
• Conducts claim reviews, stewardship meetings, and pre-renewal meetings with policyholders and brokers for each assigned account.
• Attends agency visits, meetings, and events with the Marketing and/or Underwriting teams.
• Develops and provides training to company staff relating to Client Services, such as development and maintenance of Plans of Action. Conducts mock claim reviews with new Claims Professionals.
• Maintains accurate account information in Salesforce. Effectively utilizes Salesforce to service new business and renewals, and manage account assignments.
• Develops and fosters strong working relationships with policyholders and brokers, providing timely and consistent communication regarding claim or service updates.
• Develops and maintains strong knowledge of company products and programs.
• Successfully resolves customer service issues and timely responds to inquiries. Acts as a liaison between policyholders/brokers and company staff and routinely follows up with all parties to ensure resolution. Utilizes monitoring tools to ensure continued compliance.
• Collaborates with Claims, Underwriting, and Marketing teams to access account retention, troubleshoot issues, and address service needs.
• Actively participates in Client Services team meetings, sharing ideas to drive continual improvement.
• Stays abreast of insurance industry changes and internal service team changes, and proactively shares knowledge with peers and internal partners.
• Proactively communicates any problems or issues that may adversely impact a policyholder or the company directly to the Client Services Manager and/or Director of Client Services.
• Ensures work is performed in accordance with company standards and supervisory direction.

Client Services Account Manager

Marketing

• Visit wholesale agency partners nationally
• Monitor and foster agency relationships
• Grow a book of business
• Understand and communicate BHHC’s non admitted property products
• Arrange virtual visits and in person travel
• Act as decision maker regarding agency appointments and commitments
• Identify opportunities for new business and collaborate with company underwriters
• Develop the marketing strategy for assigned agents

Wholesale, Excess & Surplus Lines Field Marketing Representative

• Acts as Field Marketing professional visiting with agencies in the assigned territory
• Responsible for monitoring and fostering agency relationships in an assigned territory
• Monitors new binding activity as well as renewal retention for assigned group of agents
• Provides marketing information to agents regarding product opportunities
• Helps to set agency level goals
• Engages in consultative marketing strategy and provides detailed production data
• Acts as primary source of correspondence from agents within assigned territory
• Answers questions and uses problem solving skills
• Schedules agency visits in advance of meetings utilizing calendar and CRM software
• Maintains appropriate level of product knowledge

Field Marketing Manager

Project Manager

• Lead IT projects and coordinate cross-functional teams, driving the successful implementation of technology solutions.
• Facilitate scrum ceremonies (Daily Standups, Sprint Planning, Sprint Retrospective, and Sprint Reviews).
• Act as a servant leader to cross-functional Agile teams, ensuring adherence to Agile principles and best practices.
• Remove impediments and foster an environment for high-performing team dynamics, continuous improvement and productivity.
• Collaborate with Product Owners to define and prioritize the product backlog.
• Plan, execute, and oversee IT projects from inception through delivery using PMP principles and best practices.
• Develop project plans, including scope, schedule, resource allocation, risk mitigation strategies, and budget.

Project Manager II

Communications

• Responsible for translating Claims strategy, system changes, and workflow design into clear, consistent, and executable practices across the Claims organization.
• Establishes and maintains disciplined standards for workflow documentation, job-level execution, and practical job aids, ensuring that leadership intent is understood, adopted, and executed consistently along frontline teams.
• Partners closely with Claims leadership, Transformation, and Technology to ensure change is implemented with clarity, consistency, and accountability.
• Monitors execution consistency across teams and identifies gaps between defined standards and actual practice.
• Utilizes data, audits, and frontline feedback to prioritize improvements.
• Drives continuous refinement of workflows, job aids, and communication practices.
• Owns end-to-end documentation of critical Claims workflows across Adjusting, Medical Management, and operational support functions.
• Translates complex workflows into clear, structured process maps and execution standards.
• Ensures a singular, consistent voice across all Claims communication related to workflow and execution changes.
• Establishes a repeatable model for change rollout, including sequencing, reinforcement, and adoption tracking. Identifies breakdowns in adoption and drives correction actions.

Claims Communication and Process Enablement Lead

• Responsible for translating Claims strategy, system changes, and workflow design into clear, consistent, and executable practices across the Claims organization.
• Establish and maintain disciplined standards for workflow documentation, job-level execution, and practical job aids, ensuring that leadership intent is understood, adopted, and executed consistently along frontline teams.
• Partner closely with Claims leadership, Transformation, and Technology to ensure change is implemented with clarity, consistency, and accountability.
• Own end-to-end documentation of critical Claims workflows across Adjusting, Medical Management, and operational support functions.
• Translate complex workflows into clear, structured process maps and execution standards.
• Establish and enforce documentation standards to ensure consistency across all Claims functions.
• Ensure the integrity and ongoing accuracy of a centralized repository for Claims workflows, updating documentation as processes evolve.
• Design and deliver high-quality job aids that support real-time decision making.
• Ensure materials are usable in the flow of work, reducing reliance on tribal knowledge or inconsistent practices.
• Continuously refine tools based on frontline feedback and observed execution gaps.
• Partner with Claims leadership and Transformation team to translate system changes and process updates into clear, actionable communications.
• Ensure a singular, consistent voice across all Claims communication related to workflow and execution changes.
• Establish a repeatable model for change rollout, including sequencing, reinforcement, and adoption tracking.
• Identify breakdowns in adoption and drive correction actions.
• Monitor execution consistency across teams and identify gaps between defined standards and actual practice.
• Utilize data, audits, and frontline feedback to prioritize improvements.
• Drive continuous refinement of workflows, job aids, and communication practices.

• Responsible for translating Claims strategy, system changes, and workflow design into clear, consistent, and executable practices across the Claims organization.
• Establishes and maintains disciplined standards for workflow documentation, job-level execution, and practical job aids, ensuring that leadership intent is understood, adopted, and executed consistently along frontline teams.
• Partners closely with Claims leadership, Transformation, and Technology to ensure change is implemented with clarity, consistency, and accountability.
• Owns end-to-end documentation of critical Claims workflows across Adjusting, Medical Management, and operational support functions.
• Translates complex workflows into clear, structured process maps and execution standards.
• Establishes and enforces documentation standards to ensure consistency across all Claims functions.
• Ensures the integrity and ongoing accuracy of a centralized repository for Claims workflows, updating documentation as processes evolve.
• Designs and delivers high-quality job aids that support real-time decision making.
• Ensures materials are usable in the flow of work, reducing reliance on tribal knowledge or inconsistent practices.
• Continuously refines tools based on frontline feedback and observed execution gaps.
• Partners with Claims leadership and Transformation team to translate system changes and process updates into clear, actionable communications.
• Ensures a singular, consistent voice across all Claims communication related to workflow and execution changes.
• Establishes a repeatable model for change rollout, including sequencing, reinforcement, and adoption tracking.
• Identifies breakdowns in adoption and drives correction actions.
• Monitors execution consistency across teams and identifies gaps between defined standards and actual practice.
• Utilizes data, audits, and frontline feedback to prioritize improvements.
• Drives continuous refinement of workflows, job aids, and communication practices.