Associate Medical Risk Consultant

Job Description

Job Description

Who are we?
A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?

Learn more about our unique culture and history.

Job Opportunity:

Berkshire Hathaway Specialty Insurance is seeking Associate Medical Risk Consultant for our growing Accident & Health Division. The selected candidate will work side by side with our Employer Stop Loss Medical Risk Consultants and with our Employer Stop Loss Claims Auditors.

Location: Indianapolis, Boston, Plymouth Meeting

Duties and Responsibilities:

• Assist in managing the Employer Stop Loss referral mailbox
• Assist with new and renewal group set up in Medical Underwriting ESL Office (Stop Loss Software) including uploading documents and entering data for identified risks
• Manage Renewal Assignment report for the Medical Risk Consultant Team; weekly update of Renewal Assignment report with group sale notifications/data
• Run various reports for nurses, auditors, and management as requested
• Perform data review to identify pertinent data for medical risk reviews (ie: various Excel functions including pivot tables and charts; formulas; data cleaning, data sorting; report preparation for reviews)
• Upload pertinent documents into AMS Profiler

Qualifications, Skills and Experience:

• 1+ years of medical stop loss support experience, preferred
• Knowledge of medical billing codes (ie: ICD10, CPT, HCPCS, REV, NDC)
• Experience in Medical service industry (ie: medical office staff, acute care setting, home health care, insurance, stop loss)
• Ability to work in high volume, rapid response environment
• Ability to multi-task and shift priorities as needed
• Exceptional attention to detail and strong organizational skills are imperative
• Excellent verbal and written communication skills
• Demonstrated excellence with Microsoft Excel
• Experience with Excel; PDFs; AMS; David Young System (or similar software supporting stop loss), preferred

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.
• Benefits that support your life and well-being, which include:
• Comprehensive Health, Dental and Vision benefits
• Disability Insurance (both short-term and long-term)
• Life Insurance (for you and your family)
• Accidental Death & Dismemberment Insurance (for you and your family)
• Flexible Spending Accounts
• Health Reimbursement Account
• Employee Assistance Program
• Retirement Savings 401(k) Plan with Company Match
• Generous holiday and Paid Time Off
• Tuition Reimbursement
• Paid Parental Leave

The base salary range for this position is $65,000 to $85,000, along with annual bonus eligibility. Total compensation for a candidate is determined by their relevant skills, location, and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.