Claims Examiner – Trainee

Berkshire Hathaway Homestate Companies - Workers Compensation Division

Claims Adjuster managing a caseload of workers compensation claims from inception to resolution. Part of a dynamic and growing organization with training and career growth opportunities.

Posted 7/8/2026full-timeSan Diego • California • 🇺🇸 United StatesEntry Level💰 $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in workers' compensation claims handling, including investigative communication, negotiation, and decision-making. Proficient in managing claims processes, coordinating with various professionals, and ensuring timely and accurate settlement recommendations.

Highest-signal resume keywords

Workers' Compensation Claims HandlingInvestigative CommunicationNegotiation SkillsClaims ManagementSpanish Fluency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical TerminologyLegal ConceptsCalculating ReservesReviewing Medical RecordsDecision-MakingStrategic PlanningFraud IdentificationTask Assignment

Soft Skills

Effective CommunicationInterpersonal SkillsCustomer ServiceOrganization SkillsTime Management

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook

Industry Keywords

Claims InvestigationCompensabilityThree-Point ContactSettlement Recommendations

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Minimum of High School Diploma or equivalent certificate required; Bachelor’s degree from four-year college or university is preferred
Ability to communicate effectively verbally and in writing; Spanish Fluency ability preferred
Exceptional interpersonal and customer service skills
Ability to manage and prioritize multiple assignments in a fast-paced environment
Strong organization skills to ensure tasks are completed within hard deadlines
Basic mathematical skills to calculate monetary reserves
Knowledge of Microsoft Word, Powerpoint, Excel, Outlook

Benefits

Comp & perks

Unparalleled financial strength and stability
Fantastic growth and advancement opportunities
WFH Hybrid schedule
Free gym in building
Generous Paid Time Off and Holidays
Excellent Benefits (Medical, Dental, Vision, 401k, etc)
Health and Wellness Reimbursement
Tuition Assistance Reimbursement
Discounts across companies such as GEICO, See’s Candies, etc.