Berkshire Hathaway Homestate Companies - Workers Compensation Division

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.
• 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

• 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.

Accounting Manager

• Coordinates with internal and external stakeholders to obtain necessary financial information, validate information, and support efficient workflows. Identifies process issues, exceptions, and inefficiencies; resolves or escalates to management for review. *(Levels 1 and 2)*
• Ensures accurate data capture and efficient output across financial operations and ensures compliance with policy terms and financial controls. *(Level 2)*
• Produces, validates, and maintains recurring reports used to monitor performance and compliance. Analyzes data to identify trends, risks, exceptions, and opportunities for improvement. *(Level 2)*
• Prepares routine monthly, quarterly, and annual account reconciliations. Assists with journal entries, adjustments, and other accounting activities as assigned. Supports period-end and other financial close activities. *(Level 2)*
• Responds to basic internal and external inquiries regarding financial data, transactions, or processes. Provides supporting documentation and analysis for audits, management reviews, and regulatory or compliance requests. *(Level 2)*
• Provides high-quality service to internal and external stakeholders, responding to inquiries via email or telephone per company guidelines.* (Level 2)*
• Acts as a point of escalation for complex service issues and supports resolution across departments.
• Develops understanding of finance related tasks, accounting concepts, an insurance workflows, including cash application, payroll reporting, premium audit, and risk evaluation. *(Levels 1 and 2)*
• Develops understanding of underwriting workflows necessary to better support broader range of financial operations. *(Level 2)*
• Performs other related duties or special projects as assigned by Company leadership or as situation dictates.

Accounting Operations Specialist

Analyst

• Designs, builds, tests, maintains and enhances business processes within HRIS according to company policy and guidelines
• Participates in bi-annual Workday releases to identify opportunities to enhance our environment in alignment with the HR Technology roadmap
• Serves as subject matter expert for Workday Payroll, Absence and Time Tracking
• Coordinates or supports the needs of other teams within and outside of the HR department that impact HR systems
• Continuously increases technical and industry trend knowledge by participating in Workday Community and other forums
• Performs special projects or related duties as assigned or as situation dictates
• Serve as technical support for Workday U.S. Payroll, specializing in resolving intricate issues and providing expert guidance to the payroll team
• Take ownership of configuring and maintaining Workday U.S. Payroll, Absence and Time Tracking modules, ensuring precise and streamlined processing of payroll data

Senior HRIS Analyst

Claims Specialist

• 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 – Trainee

• Successfully completes the Medical Claims Training Program.
• In classroom training, is attentive, takes notes, asks appropriate questions, participates successfully in exercises, and demonstrates mastery of the subject material.
• In the Medical Claims Unit, asks appropriate questions, exhibits continuous improvement under the guidance of the supervisor, and demonstrates mastery of fundamental adjusting knowledge, skills, and strategy.
• Learns medical subjects including anatomy, physiology, terminology, pharmacology, causation, nature of the injury, and diagnostic and treatment methodology.
• Learns legal subjects including relevant statutes and regulations.
• Learns to effectively and efficiently use the computer systems employed in the management of claims.
• Learns skills such as investigative and persuasive communication, decision-making, and documentation.
• For clients who are provided with a dedicated Claims Medical Specialist, establishes and maintains a sound working and communication relationship with the client’s contact personnel.
• Determines coverage for new claims.
• Conducts and directs the investigation of new claims to determine compensability and severity and to gather all other relevant information.
• Calculates appropriate reserves and ensures that reserves are adjusted as needed.
• Ensures that benefits are provided in accordance with the law and that the claim as a whole is managed in accordance with all legal requirements including the issuance of appropriate notices and filings.
• Manages each claim to an appropriate and successful resolution.
• Ensures that work is performed in accordance with Company procedures, standards, training, and supervisory direction.
• Fosters a positive and close working relationship with other Company staff, including the Call Center, Medical Management teams, Client Services, and indemnity Adjusting staff.

Medical Claims Specialist

Medical Claims Specialist – Workers Compensation

• Investigate assigned claims reported under insurance contracts provided by affiliated Companies
• Identify information and documents needed to evaluate claims
• Assign and direct independent adjusters
• Contact Insureds, Claimants regarding claims processes and resolution alternatives
• Comply with claims handling laws and regulations
• Identify and determine respective rights and obligations under insurance contracts
• Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds
• Establish and modify appropriate case reserve reflecting information regarding assigned claims
• Prepare and maintain accurate record of communications with Insureds and Claimants

Claims Communication and Process Enablement Lead

Claims Communication and Process Enablement Lead

Claims Communication and Process Enablement Lead

Claims Communication and Process Enablement Lead

Accounting Operations Specialist

Senior HRIS Analyst

Claims Adjuster – Trainee

Medical Claims Specialist

Medical Claims Specialist – Workers Compensation

Claims Examiner II