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: 

BHSI has an exciting opportunity for a medical risk consultant to join their medical stop loss team. The ideal candidate will utilize professional and clinical knowledge to assess risk.  These activities will provide BHSI medical stop loss underwriters, claim auditors and external clients with appropriate clinical assessment of the anticipated care needs and potential costs of identified claimants.

Location: Our offices in Indianapolis, IN; Plymouth Meeting, PA; Boston, MA; Atlanta, GA; and open to remote work arrangements

Duties and Responsibilities:

• Evaluate and assess both new business and renewal large claims, disclosures, clinical data, and claims data to identify known risks, potential risks, and make projected risk recommendations to the stop loss underwriting team.
• Quickly, thoroughly, and accurately assess a potential and/or actual claim to successfully influence risk decision makers, resulting in meaningful clinical and/or financial outcomes.
• Effectively communicate and document claim projections and rationale to stop loss underwriters.
• Effectively explain complex clinical conditions and treatments utilizing knowledge base, experience, and/or research as requested to internal and external clients.
• Build strong relationships with internal (Underwriters, Claims) and external clients (Third Party Administrators, external Case Managers) to communicate risk factors and projected cost of claims.

 Qualifications, Skills and Experience:

• Bachelor’s Degree, or equivalent combination of education and work experience
• Registered Nurse license required
• 5+ years of clinical experience
• 2+ years of medical stop loss experience, preferred
• Working knowledge of stop loss insurance policy and contract language
• Excellent oral, written, and interpersonal communication skills 
• 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
• Verified knowledge of ESL Office, particularly the Underwriting, Claims and Policy Administration modules
• Working knowledge of Microsoft Excel 
• Experience with Excel; PDFs; AMS; David Young System (or similar software supporting stop loss), preferred

BHSI 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.
• Benefits that support your life and well-being, which include:
• 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
• Retirement Savings 401(k) Plan with Company Match
• Generous holiday and Paid Time Off
• Tuition Reimbursement
• Paid Parental Leave

The base salary range for this position is $90,000 to $120,000, along with annual bonus eligibility.   Total compensation for a candidate is determined by their relevant skills, location, and experience.  We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

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.