Job Title

BerkleyNet is an innovative workers compensation insurance provider that does all our business online. Our Goal? To make doing business “Ridiculously Fast. Amazingly Easy.” The Return to Work (RTW) Specialist advances BerkleyNet’s mission of delivering exceptional workers compensation outcomes by facilitating safe, timely, and sustainable return‑to‑work plans for injured employees. The role serves as a strategic partner to employers, injured workers, medical providers, and internal claims teams, ensuring that modified duty opportunities are identified, communicated, and implemented effectively. This position directly contributes to loss cost management, improved recovery outcomes, and an elevated customer experience by reducing disability duration and supporting early, collaborative return‑to‑work solutions.Coordinate individualized return‑to‑work plans that align with medical restrictions, employer capabilities, and jurisdictional requirements.Monitor medical progress and work status to ensure plans remain appropriate and updated as conditions evolve.Identify modified duty opportunities by partnering with employers to understand job tasks, essential functions, and potential accommodations.Evaluate work capacity and readiness using medical documentation, provider input, and claim facts.Recommend claim strategies that support early return‑to‑work, including transitional duty, ergonomic adjustments, or alternative placements.Exercise authority to approve or escalate RTW decisions in accordance with company guidelines and best practices.Collaborate with injured workers to set expectations, address barriers, and support a positive recovery experience.Partner with employers to educate them on RTW best practices, modified duty options, and program benefits.Communicate with medical providers to clarify restrictions, obtain updated work status, and align treatment plans with RTW goals.Maintain accurate RTW documentation within claim files, ensuring clarity, timeliness, and regulatory compliance.Track and report RTW metrics such as days away from work, transitional duty utilization, and program effectiveness.Ensure adherence to jurisdictional requirements related to work status forms, communication timelines, and accommodation obligations.Identify trends and opportunities to enhance BerkleyNet’s RTW program, tools, and employer resources.Support training and education initiatives for internal teams and external partners on RTW processes and best practices.Visibly supports the overall claims adjusting and managed care functions in multiple jurisdictionsAssist claims management in monitoring and researching jurisdictional case law and statutory legal trendsDemonstrate the use of tact and discretion in all communications and provides a positive contribution to the morale of the claims departmentLead special projects as assigned by senior claims managementContinuously strives to improve our product and business results through innovationObtain and maintain adjuster license in multiple jurisdictions as requiredThis role requires working onsite Monday through Thursday, with the option to work remotely on Fridays, in one of the following office locations: Manassas VA, Richmond VA, Irving TX or Scottsdale AZ.Minimum of 2+ years of technical claims handling experience with a heavy emphasis on workers’ compensation claims in multiple jurisdictionsSupervisory experience a plus, but not requiredConsistently display a high-level of ownership, drive, and accountabilityActs as an informal leaderExcellent written, verbal, interpersonal and relationship building skillsExceptional time management and organization skillsStrong insurance business acumen and leadership skillsAbility to work independently and strategically problem solveStrong analytical and critical thinking skillsAbility to diplomatically manage conflictAbility to develop relationships within the organization and work effectively across departmentsStrong discretion and integrity in dealing with highly confidential and sensitive informationDisplay a high degree of attention to detailEducationBachelor’s degree or equivalent work experienceAIC, ARM, CCP or CPCU insurance designation preferredThe Company is an equal employment opportunity employer.We do not accept any unsolicited resumes from external recruiting firms.The company offers a competitive compensation plan and robust benefits package for full time regular employees.Base salary & Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans.The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.• Low to moderate level of travel (up to 10% - 15% of time)• Ability to travel nationally to attend legal hearings, conferences, trainings, file reviews, audits, and business partner meetings