Medical Only Claims Representative

Job Title

Medical Only Claims Representative

Job ID

2026-5933

# of Openings

1

Job Locations

US-PA-Wilkes Barre

Category

• Claims Workers Compensation
• Location : Location
• US-PA-Wilkes Barre
• Job Post Information* : Posted Date

7/14/2026

• Job Post Information* : External Company Name
• Berkshire Hathaway GUARD Insurance Companies
• Job Post Information* : External Company URL http://www.guard.com/westguard.htm
• Location : Postal Code

18701-0020

Location : Address

39 Public Square

Type

Regular Full-Time

Telecommute

No

Responsibilities

We are seeking a Medical Claims Representative in our Wilkes-Barre, PA office to manage 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