Hiring: Experienced Claims Adjuster Company: Berkshire Hathaway Homestate Companies - Workers Compensation Division Location: Sacramento, CA Job Posted Time: 2026-09-10 15:12:47 Employment Type: On-site Target Skills & Keywords : Agile, Microsoft Excel, Microsoft Office, REST About the job Required Skills: •Conducts the investigation of reported claims via three-point contact calls to determine coverage, compensability and severity, and to gather all other relevant information, documenting all relevant information thoroughly and escalating the investigation for further investigation when appropriate. •Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines. •Calculates and administers benefits in accordance with statutory requirements, including timely issuance of appropriate notices and filings. •Develops and updates a Plan of Action for the successful resolution of each claim; timely updates Plan as new information is obtained. •Makes prompt, sound decisions on issues that arise in claims based on the best information available, ensuring that work is performed in accordance with Company standards, training, supervisory direction, and applicable laws. Timely escalates issues/red flags to Supervisor and/or appropriate internal team. •Ensures that the actions of all other professionals involved in claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim. •Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently. •Accurately and thoroughly prepares litigation referrals, AOE/COE investigation referrals, and MSA referrals for submission to vendor; obtains proper approval from Management. Qualifications: •DESIGNATION: Designated as a Claims Adjuster or Experienced Claims Adjuster per the California Code of Regulations and has completed the minimum required continuing education credits to adjust workers compensation claims for the State of California; Self-Insured certification a plus. •Maintains qualifying educational criteria to adjust workers’ compensation claims for the State of California; Self-Insured certification preferred. •Inquisitive, critical thinker; agile learner with adaptive, smart time management skills. •To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications (highly proficient in Excel preferred), and be proficient on applicable databases, systems and vendor software programs. Compensation: •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!