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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.
Job Responsibility:
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
Requirements:
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
What we offer:
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)