Associate Medical Risk Consultant

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    "requisitionDescription": "<div><div><p data-pasted=\"true\"><strong>Who are we?</strong><strong>&nbsp;</strong><br>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&rsquo;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.</p><p>We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. &nbsp;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. &nbsp;We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized.&nbsp;Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?</p><p>Learn more about our unique&nbsp;<a href=\"https://bhspecialty.com/career/\" target=\"_blank\">culture</a> and&nbsp;<a href=\"https://bhspecialty.com/who-we-are/\" target=\"_blank\">history</a>.</p><p><strong>Job Opportunity:&nbsp;</strong></p><p>Berkshire Hathaway Specialty Insurance is seeking Associate Medical Risk Consultant for our growing Accident &amp; 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.&nbsp;</p><p><strong>Location:&nbsp;</strong>Indianapolis, Boston, Plymouth Meeting</p><p><strong>Duties and Responsibilities:</strong></p><ul><li>Assist in managing the Employer Stop Loss referral mailbox</li><li>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&nbsp;</li><li>Manage Renewal Assignment report for the Medical Risk Consultant Team; weekly update of Renewal Assignment report with group sale notifications/data</li><li>Run various reports for nurses, auditors, and management as requested</li><li>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)</li><li>Upload pertinent documents into AMS Profiler</li></ul><p><strong>&nbsp;</strong></p><p><strong>&nbsp;</strong><strong>Qualifications, Skills and Experience:</strong></p><ul><li>1+ years of medical stop loss support experience, preferred</li><li>Knowledge of medical billing codes (ie: ICD10, CPT, HCPCS, REV, NDC)</li><li>Experience in Medical service industry (ie: medical office staff, acute care setting, home health care, insurance, stop loss)</li><li>Ability to work in high volume, rapid response environment</li><li>Ability to multi-task and shift priorities as needed</li><li>Exceptional attention to detail and strong organizational skills are imperative</li><li>Excellent verbal and written communication skills</li><li>Demonstrated excellence with Microsoft Excel</li><li>Experience with Excel; PDFs; AMS; David Young System (or similar software supporting stop loss), preferred</li></ul><p>&nbsp;</p><p><strong>BHSI Offers:</strong></p><ul><li>A competitive package and exciting growth opportunities for career-oriented teammates.</li><li>A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.</li><li>A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.</li><li>Benefits that support your life and well-being, which include:</li><li>Comprehensive Health, Dental and Vision benefits</li><li>Disability Insurance (both short-term and long-term)</li><li>Life Insurance (for you and your family)</li><li>Accidental Death &amp; Dismemberment Insurance (for you and your family)</li><li>Flexible Spending Accounts</li><li>Health Reimbursement Account</li><li>Employee Assistance Program</li><li>Retirement Savings 401(k) Plan with Company Match</li><li>Generous holiday and Paid Time Off</li><li>Tuition Reimbursement</li><li>Paid Parental Leave</li></ul><p><em>&nbsp;</em></p><p>The base salary range for this position is $65,000 to $85,000, along with annual bonus eligibility. &nbsp; Total compensation for a candidate is determined by their relevant skills, location, and experience. &nbsp;We value our teammates &ndash; both their capabilities and character &ndash; as demonstrated by our amazing culture.</p><p>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.</p></div></div>\n",
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