Medical Claims Representative – Paid Family Leave/Disability

Overview

Good Things Start Here. Good things are happening at Berkshire Hathaway GUARD Insurance Companies—an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.

Good Things You Can Count On. Hybrid schedule: 2 days remote / 3 in‑office Predictable hours (no nights, weekends, or holidays) Competitive pay + generous PTO Medical, dental & vision starting day one 401(k), tuition reimbursement & longevity bonuses Responsibilities Berkshire Hathaway GUARD Insurance Companies is currently hiring for a Medical Claims Representative in our Wilkes-Barre, PA office.

The Paid Family Leave/Disability Representative is responsible for communication, coordination, and administration of Paid Family Leave/Disability Claims within the state of New York. This includes determination of compensability and the prompt provision of benefits. The position will work as a liaison between the employer and employee to provide information about Paid Family Leave/Disability.

The representative is responsible in informing employers on the proper management and impact of Paid Family Leave/Disability claims.

Qualifications

Proficiency in understanding medical and legal terminology Computer Literacy with strong Microsoft Office capabilities Strong attention to detail and focus on technology A solid commitment to providing exceptional customer service Excellent communication and organizational skills High School Diploma/GED required Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses.

The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements.