Associate Medical Risk Consultant

About the role

Berkshire Hathaway Specialty Insurance (BHSI) is a strategic and trusted insurance partner providing a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. As 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.

Responsibilities

• Aid in managing the Employer Stop Loss referral mailbox
• Support new and renewal group set up in Medical Underwriting ESL Office (Stop Loss Software) including uploading documents and entering data for identified risks
• Weekly update of Renewal Assignment report with group sale notifications/data
• Generate various reports for nurses, auditors, and management as requested
• Conduct data review to identify pertinent data for medical risk reviews using Excel functions such as 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 (ICD10, CPT, HCPCS, REV, NDC)
• Experience in Medical service industry (medical office staff, acute care setting, home health care, insurance, stop loss)
• Highly skilled in working in high volume, rapid response environments
• Exceptional ability to multi-task and shift priorities as needed
• Strong attention to detail and organizational skills
• Outstanding verbal and written communication skills
• Proficiency with Excel, PDFs, AMS, and David Young System (or similar software supporting stop loss)

Benefits

• 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
• Retail Savings 401(k) Plan with Company Match
• Generous holiday and Paid Time Off
• Tuition Reimbursement
• Paid Parental Leave

Pay

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. Compensation will be commensurate with experience.