Claims Compliance Specialist

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) is seeking a Claims Compliance Specialist to join the Claims Technical & Compliance team.

The Claims Compliance Specialist will have diverse responsibilities as a member of the Compliance team within the Claims Technical and Compliance group. This position entails regular communication and collaboration with multiple internal stakeholders. The successful candidate values building positive relationships while helping to ensure the highest level of compliance within the claim department.

Duties & Responsibilities:

• Support compliance with Medicare reporting process requirements to the Centers for Medicare and Medicaid Services (CMS).
• Facilitate claim data input and reporting to Insurance Services Organization (ISO)
• Support compliance with regulatory reporting to State and Federal agencies to ensure timely reporting
• Conduct claim reviews in association with Fraud Prevention efforts
• Conduct Loss and Expense Payment and Vendor payment control reviews
• Assist with oversight of the Claims legal e-billing platform, including management of reports relating to budgets, invoices and appeals.
• Manage the Adjuster licensing and Continuing Education (CE) process.
• Assist compliance with ongoing training and serve as technical resource for Compliance activities

Qualifications, Skills and Experience:

• A minimum of 3 years’ experience handling claims for a commercial insurance carrier.
• Excellent interpersonal communication skills.
• Ability to thrive in a team environment and handle multiple tasks simultaneously.
• Ability to manage time effectively, set priorities and meet deadlines.
• Proficient in MS Word, Excel, and Power Point.
• May be asked to perform other duties as required by management.

BHS 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.

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