Claims Representative - Medical Only
About this role
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
The Medical Claims Representative manages Workers' Compensation medical-only claims while providing timely service to injured workers, employers, and medical providers. This role is responsible for the communication, coordination and administration of Workers’ Compensation claims.
- Manage Workers' Compensation medical-only claims from initial report through resolution.
- Determine compensability and ensure timely delivery of benefits.
- Coordinate medical treatment and facilitate early return-to-work efforts.
- Review and process medical bills for payment.
- Serve as a liaison between injured workers, employers, and medical providers.
- Provide guidance regarding Workers' Compensation processes and claim management.
- Maintain accurate claim documentation and comply with applicable regulations and company procedures.
Qualifications
Candidate must have:
- Proficiency with Microsoft Office applications and other business technologies
- Strong communication, organizational, and customer service skills
- Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
- Strong attention to detail
- Ability to learn new technology and systems
- High School Diploma/GED required; additional education or relevant claims experience is a plus
- 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
Frequently Asked Questions
Is the salary disclosed for the Claims Representative - Medical Only position at guard?
The salary for this Claims Representative - Medical Only role at guard is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Is the Claims Representative - Medical Only job at guard remote?
Yes, this Claims Representative - Medical Only position at guard is remote, with team members based in Wilkes Barre, PA, US. You can work from home or anywhere in the supported regions.
Is the Claims Representative - Medical Only role at guard full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Claims Representative - Medical Only role at guard.
How do I apply for the Claims Representative - Medical Only position at guard?
Click the "Apply Now" button on this page. You will be redirected to guard's official application portal hosted on icims where you can submit your application directly.
When was the Claims Representative - Medical Only job at guard posted?
This Claims Representative - Medical Only position at guard was posted on Jul 14, 2026. Apply as soon as possible — early applications are often reviewed first.
Claims Representative - Medical Only
guard
You'll be redirected to guard's official application page on icims.