Claims Correspondence Analyst
Marlborough, NH - USA
Department:
Job Summary
Company Details
Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics we can help employers better manage their risk. We offer a broad range of products including employer stop loss benefit captives provider stop loss HMO reinsurance and specialty accident. The key to Berkleys success is our nimble approach to risk our ability to quickly understand think through and devise a plan that addresses each clients challenges coupled with the strong backing of a Fortune 500 company. Our parent company W. R. Berkley Corporation is one of the largest and best managed property/casualty insurers in the United States.
#LI-AV1 #LI-Hybrid
The Company is an equal employment opportunity employer.
Responsibilities
The Claims Correspondence Analyst will serve as a first point of contact for inquiries related to claims. This role is responsible for handling Explanation of Reimbursement (EOR) requests claim status inquiries general claim-related questions and prescreening information received for initial claim file setups. The ideal candidate will have strong communication skills attention to detail and the ability to manage multiple priorities in a fast-paced environment.
This position will be based in one of our offices:
- Hamilton Square NJ
- Marlborough MA
We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
What you can expect:
- Culture of innovation teamwork supportive colleagues and leaders willing to invest in talent
- Internal mobility opportunities
- Visibility to senior leaders and partnership with cross functional teams
- Opportunity to impact change
- Benefits competitive compensation paid time off comprehensive wellness benefits and programs employer funded health savings account profit sharing 401k paid parental leave employee stock purchase plan tuition assistance and professional continuing education
Well count on you to:
- Respond promptly and professionally to incoming requests regarding: EOR requests claim status requests/updates and general claim questions from Account Management Sales Brokers Policyholders and Third-Party Administrators
- Review and prescreen information received for initial claim file setups
- Maintain accurate records of all interactions and updates in the claims system and/or shared drive
- Ensure compliance and company policies regulatory requirements and confidentiality standards by ensuring that all external communications that contain PHI/PII are sent securely.
- Provide exceptional customer service by delivering clear concise and professional communication
- Complete all assigned requests within a 48 to 72-hour handling timeframe
- Projects and other work as assigned
Qualifications
What you need to have:
- High school diploma
Prior experience in claims processing healthcare administration or customer service strongly preferred
Strong organizational skills and attention to detail
Excellent verbal and written communication skills
Ability to work independently and as part of a team
Proficiency in Microsoft Office Suite software
Customer-focused mindset
Problem-solving and critical thinking
Time management and multitasking
Adaptability in a dynamic environment
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
Base Salary Range: $50000 - $60000
Benefits: Health Dental Vision Life Disability Wellness Paid Time Off 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Sponsorship Details
Required Experience:
IC
About Company
Berkley is a leader in commercial lines insurance, with over 60+ specialized businesses - each with deep expertise in an industry, product, or regional niche.