Claims Examiner Trainee

About the role

This position represents a foundational career path within the Workers' Compensation division of Berkshire Hathaway Homestate Companies, specifically designed for individuals seeking to build a long-term profession in claims examination. The role is dedicated to Spanish-speaking candidates who possess the bilingual capability to navigate complex claim documentation and stakeholder communication effectively. You will be entrusted with managing the complete lifecycle of workers' compensation cases, from initial intake through to final resolution, ensuring adherence to strict procedural standards. Success in this role requires a commitment to mastering investigative techniques, medical record analysis, and legal compliance under structured guidance. The position provides an exceptional training framework that transforms entry-level aptitude into the expertise required of a senior adjuster over time. As you progress, you will handle an increasingly complex caseload, demonstrating the value of your training and bilingual skills in a dynamic and expanding organizational environment.

Key facts

What you'll do

Open new submissions and meticulously verify coverage details for all incoming claim files to establish a solid foundation for case processing.

Construct comprehensive investigation plans that systematically address liability, specific injury details, and the necessary medical support required for each unique claim scenario.

Review medical records and provider notes with precision to track treatment relevance, identify patterns, and assess patient progress accurately.

Ship finalized decision packages to all relevant stakeholders, ensuring every document aligns with current legal guidelines and internal quality standards.

Partner closely with vendors and legal teams to resolve outstanding items, removing barriers and facilitating timely case closure for complex files.

Coordinate regular client updates using clear and professional communication to ensure injured workers fully understand their status and the next required actions.

Organize resource allocation strategically to effectively balance a complex caseload while strictly maintaining procedural accuracy and regulatory compliance.

Document every key step of the claims process diligently to create clear audit trails that satisfy regulatory requirements and internal standards.

Utilize specialized claim systems to update case status, record all actions taken, and maintain an accurate digital footprint for each file.

Support the company's operational goals by meeting aggressive project timelines when managing multiple claims under strict regulatory guidelines and quality metrics.

Apply analytical skills to assess incident details, determining the appropriate level of intervention and support required for each case.

Collaborate with cross-functional teams to gather necessary information, clarify ambiguities, and ensure a holistic approach to claims resolution.

Requirements

You must hold eligibility for employment within three years of applying for this position to ensure a timely start.

Your current employment authorization must be valid for the duration of this role and must require no sponsorship for work authorization.

A full high school completion certificate or equivalent proof, such as a GED, is mandatory for consideration in this role.

You must possess a valid driver's record that demonstrates insurance eligibility for company vehicle usage during all work hours.

Proficiency in both Spanish and English is required for daily communication, documentation, and interaction with internal and external stakeholders.

Relocation to Sacramento County is necessary to accept and continue this assignment successfully.

Meeting aggressive project timelines is essential when managing multiple claims, requiring strong organizational skills and resilience.

The use of claim systems to update status, record all actions, and generate reports forms a core daily responsibility that must be performed accurately.

You must adhere strictly to all procedural guidelines and regulatory requirements that govern workers' compensation claims in the state of California.

Nice to have

There are no specific Nice to Have qualifications for this role at this time.

Practical notes

This role requires a permanent relocation to Sacramento County, California, to fulfill the essential functions of the position.

The engagement is classified as Non-Exempt, and all hours worked are subject to accurate timekeeping in accordance with company policy.

The starting compensation is $24.79 per hour, a rate that is guaranteed for a period of three years from the date of hire.

Please ensure you complete all pre-employment requirements, including any background checks or verification processes, as a condition of employment.

Work authorization documentation must be current and valid for the entire duration of the employment term.

All successful candidates must be capable of performing the essential job functions, with or without reasonable accommodation, in compliance with applicable laws.