Associate Medical Risk Consultant

Associate Medical Risk Consultant

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.