Claims Communication and Process Enablement Lead

Berkshire Hathaway Homestate Companies - Workers Compensation Division

Claims Communication and Process Enablement Lead at Berkshire Hathaway Homestate Companies. Responsible for translating Claims strategies and workflows into executable practices in the organization.

Posted 6/4/2026full-timeSan Diego • California • 🇺🇸 United StatesSenior💰 $93,510 - $116,490 per yearWebsite

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor's degree from an accredited four-year college or university.
Licensed to adjust workers compensation claims in one or more jurisdictions.
Prosci Change Management Certification or Certified Change Management Professional (CCMP).
Project Management Professional (PMP).
A minimum of seven (7) years of experience in workers compensation claims management, claims operations, or closely related functions.
Demonstrated experience translating complex processes into clear, structured, and actionable guidance.
Proven experience with Claims Management Systems (CMS).
Experience supporting or leading operational change initiatives, including system implementations or workflow designs; experience driving adoption, not just awareness.
Deep understanding of end-to-end Claims workflows, including Adjusting, Medical Management, and regulatory considerations.
Strong process orientation with ability to simplify complexity without losing substance.
Ability to convert strategy and system design into practical execution.
Strong ability to influence without direct authority across multiple levels of the organization.
Proven ability to bring structure, discipline, and clarity to ambiguous or evolving environments.
Demonstrated proficiency in Microsoft Office suite of applications, Power BI, and currently adopted proprietary and vendor software programs.
Ability to master and become proficient in additional proprietary and vendor software programs.
Ability to think critically and adapt quickly in a flexible and dynamic environment.
Ability to read, analyze, and interpret Claims laws and regulations, medical documentation, general business periodicals, professional journals, technical procedures, and data from various sources.
Ability to develop clear, actionable workflows/SOPs maintaining strict adherence to regulations, and effectively communicate them to stakeholders/users both in individual conversations and presentations to groups.
Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists.

Benefits

Comp & perks

Hybrid Work Schedule (up to 2 days work from home upon eligibility)
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
Paid Community Volunteer Day
Employee Assistance Program
Tuition Reimbursement Program
Employee Referral Program
Diversity, Equity and Inclusion Program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Claims managementWorkflow designProcess mappingData analysisOperational change initiativesSystem implementationsClaims Management Systems (CMS)Regulatory complianceMicrosoft OfficePower BI

Soft Skills

Influencing without authorityProcess orientationCritical thinkingAdaptabilityCommunicationProblem-solvingClarity in executionLeadershipCollaborationAttention to detail

Certifications

Bachelor's degreeLicensed adjusterProsci Change Management CertificationCertified Change Management Professional (CCMP)Project Management Professional (PMP)