Full-Time
Special Investigator/Provider/Workers Compensation – Mid to Senior Level
Posted on 10/31/2025
Berkshire Hathaway
11-50 employees
Diversified holding company across insurance, utilities
Compensation Overview
$89.8k - $139.4k/yr
Sacramento, CA, USA
Hybrid
Hybrid role; up to 2 days per week work from home upon eligibility.
 Consulting (1) |
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- Minimum of high school diploma, or equivalent certificate, required. Bachelor's degree from an accredited four-year college or university preferred.
- One or more preferred: Accredited Health Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI), Certified Insurance Fraud Analyst (CIFA), Certified Insurance Fraud Representative.
- Experience: Minimum of 5 years of experience (10 years for Senior-level) in Special Investigations Unit specializing in provider or health care fraud involving workers compensation claims, or in law enforcement, or combination thereof, required.
- Computer Skills: Must demonstrate strong technical competencies in the use of computers, standard business applications, Microsoft Office/365 applications, and Power BI and be able to master and become proficient in proprietary and vendor software programs.
- LANGUAGE AND REASONING SKILLS: Able to read and comprehend medical reports, medical billing, investigative reports, public records (e.g., licensing, ownership, etc.), claim file notes and attachments, legal documents, state-specific laws and regulations, moderately complex instructions, and business correspondence.
- Able to clearly and effectively draft detailed investigative reports, fraud referrals, and business correspondence.
- Able to effectively communicate with a wide range of internal and external parties.
- Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
- Able to solve practical problems involving several concrete variables in situations with limited standardization.
- Performs investigations of suspected provider fraud by thoroughly reviewing referrals from internal and external sources, investigating all indication of suspected fraud.
- Triages and logs referrals; prioritizes accordingly.
- Conducts review of publicly available and subscription-based databases and documentation to identify provider ownership, leadership, and operations.
- Recommends and executes courses of action to move investigations to resolution, including directing the work of outside investigators retained to provide investigative assistance to the Company.
- Documents all investigations thoroughly and in a manner compliant with various state Departments of Insurance and other law enforcement agencies.
- Prepares detailed reports and presentations regarding ongoing investigations, including findings and recommendations.
- Prepares and submits suspected and documented provider fraud referrals to law enforcement and prosecutorial agencies when appropriate. Responds to requests for information.
- Stays abreast of case progress and responds to any additional requests for information; If required, provides deposition and/or courtroom testimony.
- Collaborates effectively with Special Investigations Unit team members, senior management, and key internal partners (such as Medical Bill Review, Utilization Review, Claims Adjusting, and Legal) to share information and expertise, define investigative strategies and goals, and optimize the use of investigative outcomes to safeguard the company's interests.
- Maintains expertise in workers’ compensation provider fraud, investigative techniques, and legal requirements, staying informed about new developments and current trends in these areas.
- Keeps an active caseload list and diary of assigned investigations, managing workload to maximize efficiency.
- Conducts data analyses to identify potentially fraudulent policies and emerging schemes.
- Provides testimony related to provider investigations in various legal settings.
- Supports key anti-fraud personnel in identifying red flags.
- Assists in developing and presenting annual Special Investigations Unit training required by the Department of Insurance across multiple jurisdictions, and identifies opportunities for additional training to ensure timely and quality referrals by company staff. Provides courtesy training on provider fraud related topics to external parties (such as law enforcement, industry peers, etc.).
- Identifies, establishes, and cultivates external relationships with industry contacts and law enforcement involved in fraud investigation, detection, and prevention.
- Ensures strict confidentiality of all investigations.
- Bachelor's degree (or related field) preferred.
- Experience in providing testimony in legal settings.
- Experience with specialized training development or delivery for internal or external audiences.
Berkshire Hathaway is a diversified holding company with operations in insurance, utilities, manufacturing, and retail. It earns profits from its subsidiaries and from investment income generated by a large portfolio of stocks and bonds, while offering insurance and utility services and producing a range of goods. It differentiates itself with a very broad mix of operating companies and a long-term, cash-flow-focused approach rather than relying on one industry. Its goal is to build lasting shareholder value by owning and managing high-quality businesses and investments for the long term.
Company Size
11-50
Company Stage
IPO
Headquarters
Omaha, Nebraska
Founded
1839
Simplify's Take
What believers are saying
- Q1 2026 operating earnings hit $11.35B, up 18% YoY.
- Cash swelled to $397B by March 2026, enabling repurchases.
- $1.8B Tokio Marine stake unlocks Japan reinsurance expansion.
What critics are saying
- Ajit Jain retires; Charlie Shamieh lacks catastrophe pricing expertise.
- Japanese $30B stakes expose to yen depreciation and recession.
- Insurance pricing reversal erodes underwriting margins in 2026.
What makes Berkshire Hathaway unique
- Berkshire Hathaway generates $176.9B insurance float fueling investments.
- Owns diverse subsidiaries like GEICO, BNSF, and Precision Castparts.
- Holds permanent stakes over 10% in five Japanese trading houses.
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Benefits
Health Insurance
Paid Time Off
Paid Holidays
Retirement Savings Match
Employee Assistance Program
Tuition Reimbursement Program
Diversity, Equity and Inclusion Program
Work From Home Program
Company News
Home / media / Berkshire Hathaway investors weigh future under new CEO Greg Abel (CNBC). Kim Shannon attended the Berkshire Hathaway Annual Meeting this year and was interviewed by CNBC where she discussed her thoughts on Berkshire's direction under new CEO, Greg Abel.
Berkshire Hathaway owns 9.8% of VeriSign, which provides registration services for .com and .net domains and operates two of the world's 13 root servers directing internet traffic. The company reported $1.6 billion in revenue and $826 million in net income in 2025, both up from 2024. However, VeriSign's growth prospects appear limited, with domain base growth projected at just 1.5% to 3.5% in 2026 as some businesses shift to social media instead of websites. Trading at a forward P/E ratio of 27.7, the stock appears expensive relative to its mature operations. As an alternative Buffett investment, the article suggests Sirius XM Holdings, where Berkshire owns approximately 37%, as a more attractively valued option with monopolistic characteristics in satellite radio.
Berkshire Hathaway has acquired a 2.49% stake in Tokio Marine, one of Japan's largest insurers, for $1.8 billion through its reinsurance arm, National Indemnity Company. The deal was announced on 23 March 2026. NICO will join Tokio Marine's reinsurance panel through a Whole Account Quota Share arrangement, providing backup against major underwriting risks. The companies also plan to pursue global investment opportunities and mergers and acquisitions together. Tokio Marine will use the proceeds to buy back shares worth ¥287.4 billion, preventing shareholder dilution. Berkshire agreed to a 9.9% ownership cap without board approval. Founded in 1879, Tokio Marine operates in nearly 40 countries. This marks Berkshire's first major insurance investment in Japan, adding to its existing $35.4 billion holdings in five Japanese trading companies.
Coca-Cola, Warren Buffett's longest-held stock since 1988, represents 11.4% of Berkshire Hathaway's portfolio and remains an attractive buy amid market volatility. The beverage giant demonstrated resilience in 2025 with 5% adjusted revenue growth and 4% earnings per share growth, whilst gaining market share. For 2026, Coca-Cola projects 4% to 5% revenue growth and 7% to 8% non-GAAP EPS growth, with free cash flow expected to reach $12.2 billion. The company's stability as a consumer staple has made it a Dividend King, having increased its dividend for 63 consecutive years. It currently offers a dividend yield of 2.68% at $0.53 per share.
Maritime Reinsurance: 6 more US reinsurance partners to join DFC and Chubb to provide up to $40B in coverage for Strait of Hormuz passage. Apart from Chubb, Travelers, Liberty Mutual Insurance, Berkshire Hathaway, AIG, Starr, and CNA to provide reinsurance for DFC's Maritime Reinsurance plan. On top of DFC's $20 billion in rolling coverage, Chubb and these new partners will provide an additional $20 billion, bringing the total Maritime Reinsurance facility to $40 billion. WASHINGTON, D.C.:The U.S. International Development Finance Corporation (DFC) and Chubb today announced six additional American insurance partners that will provide reinsurance for DFC's Maritime Reinsurance plan: Travelers, Liberty Mutual Insurance, Berkshire Hathaway, AIG, Starr, and CNA. On top of DFC's $20 billion in rolling coverage, Chubb and these new partners will provide an additional $20 billion, bringing the total Maritime Reinsurance facility to $40 billion. The plan is designed to deliver on President Trump's directive to help restore maritime trade through the Strait of Hormuz, stabilize international commerce, and support American and allied businesses operating in the Middle East during the conflict with Iran. Maritime Reinsurance Details: * The reinsurance facility will insure losses up to approximately $40 billion on a rolling basis: $20 billion from DFC and $20 billion from Chubb and the additional partners. * Chubb, acting as lead underwriter, will manage the facility, determine pricing and terms, assume risk, and issue policies for eligible vessels and cargo. Chubb will also manage all claims. * The facility will provide War Marine Risk Insurance for Hull & Liability as well as Cargo. Coverage will be offered for War Hull Risk Insurance, for War P&I Insurance, and War Cargo Insurance. "DFC is proud to welcome Travelers, Liberty Mutual, Berkshire Hathaway, AIG, Starr, and CNA as additional reinsurance partners for our joint $40 billion Maritime Reinsurance plan," said DFC CEO Ben Black. "Along with Chubb, these leading American insurers bring deep underwriting experience in marine and marine war coverage, strengthening our efforts to help restore confidence in maritime trade." "Chubb is proud to lead and manage this program in partnership with the United States Government through the U.S. International Development Finance Corporation. The commerce passing through the Strait of Hormuz plays a vital role in the global economy, and providing vessels with insurance protection is essential for resuming trade flows," said Chubb CEO Evan Greenberg. "Reliable insurance capacity matters most in periods of uncertainty," said Travelers Chairman and CEO Alan Schnitzer. "This public-private partnership brings stability to maritime trade at a critical moment, and we're pleased to contribute our expertise and financial strength alongside the United States Government through DFC and a strong group of industry partners to support global commerce and U.S. economic interests." "As a market leader in specialty insurance and risk advisory services, we have joined the mobilization of this facility to help support the restoration of maritime commerce," said Liberty Mutual Insurance Chairman, President, and CEO Tim Sweeney. "We are very pleased to support Chubb and DFC on this initiative, and we commend all the reinsurers for stepping up to demonstrate how our industry can help to meet important needs as they arise," said Ajit Jain, Vice Chairman of Berkshire Hathaway-Insurance Operations. "This initiative demonstrates how public and private partners can come together to address real-world risk. CNA is proud to contribute our marine underwriting expertise in collaboration with other industry leaders," said Douglas M. Worman, Chairman and Chief Executive Officer of CNA. "The U.S. Government's mission of providing critical insurance capacity for vessels operating in the Strait of Hormuz through the DFC is vital to supporting global commerce and stability," said Eric Andersen, President and CEO-Elect of AIG. "AIG is pleased to support this effort with risk solutions that will safeguard the resiliency of this important global trade route." Eligibility Qualifications: * DFC and its interagency partners will determine if a vessel is eligible to participate in the reinsurance facility based on the information collected from applicants, a sanctions and Know Your Customer vetting process, and other information obtained and deemed relevant by DFC and its interagency partners. Application Information: Below is a non-exhaustive list of key information that will be collected from every applicant. DFC will publicly announce the opening of the application portal and provide additional information concerning the application process soon. * Vessel name and operator * Origin and destination country of the vessel * IMO number * Flag of the vessel * Information as to the vessel operator and crew * Major beneficial owners of the vessel and domiciles thereof * Registered owner of the vessel and domicile thereof * Types, quantity, origin, destination, and value of cargo * Owner of cargo and domicile of owner * Information as to lenders financing the vessel Submit a comment. Your email address will not be published. Required fields are marked *