Workers' Compensation Claims Representative

biBerk Business Insurance

Claims adjuster for biBerk managing workers' compensation claims and coordinating with various stakeholders. Requires 3+ years experience handling multiple jurisdiction claims, fully remote position.

Posted 6/26/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $90,000 - $105,000 per yearWebsite

About the role

Key responsibilities & impact

Determine compensability and/or coverage issues for loss time workers' compensation claims
Effectively manage a caseload of loss time claims from numerous jurisdictions
Negotiate and direct settlements under management's review
Gather medical and factual evidence to determine compensability
Direct outside investigation and handle litigation files within given authority
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers

Requirements

What you’ll need

A minimum of 3 years of experience required
Experience handling claims in multiple jurisdictions
Bachelor's degree required
SIP Certification required
Carrier experience preferred
Experience in handling lost time or litigated claims
Familiarity with medical terminology
Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills
Excellent verbal and written communication skills needed

Benefits

Comp & perks

Medical (PPO/HDHP), vision, disability, and life insurance
Enhanced dental plan with orthodontia coverage in addition to a standard plan.
Generous PTO plan for all benefit-time eligible employees.
Paid company holidays and 4 floating holidays.
Paid parental leave.
Employee Retirement Savings Plan/401(k) with company match and immediate vesting.
Education Assistance Program that offers 100% upfront tuition reimbursement after 6 months of service for approved degree programs.
Service Recognition Program that provides a monetary award to be used toward a vacation every 5 years of employment.
Wellness Initiatives that include Fitness Center and Weight Watchers Reimbursement programs.
Voluntary benefits that include accident, critical illness, and hospital indemnity.
Employee discount and rewards program on travel, tickets, electronics, home, and more.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementnegotiationlitigation handlingmedical terminologyinvestigation coordinationsettlement directioncaseload managementcompensability determinationcoverage issue analysisloss time claims handling

Soft Skills

organizational skillsproblem solvingconflict resolutionverbal communicationwritten communication

Certifications

SIP Certification