Claims Operations Analyst

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 (BHSI) has an exciting opportunity for an entry level Claims Operations Analyst. This Claims Operations Analyst position may handle a variety of claims support functions. Core activities include first notice intake / data capture of Specialty lines commercial claims for the Healthcare and Medical Stop Loss lines of business.

This is a visible and interactive role with the claim examiners, business partners and external customers. It requires a strong ability to learn and responsibly evaluate different policy and claim situations, with equally strong attention to detail. Other keys to success are commitment to customer service and quality, ability to understand and communicate technical concepts; ability to prioritize and handle multiple activities. With expansion, other functional responsibilities involving different insurance lines of business or other operational related work such as reporting, compliance, quality assurance, report analysis or projects may be assigned.

Our culture provides opportunity for advancement into other types of roles within the organization with appropriate experience, development, and willingness.

Our office is in the Sandy Springs / Dunwoody area of metro Atlanta. The candidate should reside in the Atlanta area and be within commuting distance of our office.

Duties & Responsibilities :

The responsibilities listed here reflect those of the different functions of the department. All responsibilities are not assigned to the candidate upon initial hire but are expected to evolve based upon the individual’s development. Discussion and screening of the necessary skill sets will be evaluated for all interviewed candidates.

• Evaluate, review, and analyze policies compared to new claim loss reports to determine claim type and appropriate policy coverage provisions; decision making for correct coding and claims handler assignments as well as responses to brokers, insureds, and third-party administrators (TPA)
• Understand key insurance concepts regarding policy coverages, deductibles as related to the impact on claim submissions processing.
• Acknowledge claims to insureds, brokers and TPAs in a professional, accurate and timely manner according to account specific guidelines.
• Focus on processing incoming work items within established turn-around times with high quality and accurate claim coding.
• Contribute to process efficiencies by providing input from learned procedures and team interactions.
• Learn, understand, and utilize technology for work processing in a changing and evolving environment.
• Focus on processing incoming work within established turn-around times with high quality and data accuracy.
• Process other claim support tasks in support of claim handler adjusting processes as experience is achieved.

Qualifications, Skills and Experience :

Additional skills that are an advantage for this position, but not required :

BHSI Offers :

Comprehensive Health, Dental and Vision benefits

NOTE : 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.

The base salary range for this position is from $50,000 – $55,000 along with annual bonus eligibility; a candidate’s actual salary is commensurate with experience as determined by their relevant skills and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.