Berkshire Hathaway Homestate Companies - Workers Compensation Division · 3 days ago
Utilization Review Assistant (Workers Compensation)
Berkshire Hathaway Homestate Companies is a national insurance group that values relationships and integrity. They are seeking a Utilization Review Assistant to ensure timely and accurate data collection for the utilization review process, manage intake coordination, and maintain compliance with corporate standards.
Financial ServicesInsurance
Responsibilities
Triage and manage intake coordination of requests for authorization and independent medical review requests
Examine requests for legibility and take appropriate action to ensure accuracy of data entry and documentation
Correctly identify medical documents and index to claim files as instructed
Efficiently organize, prepare, image and download medical reports and claim letters while maintaining data integrity
Accurately enter data timely to track independent medical requests and final determinations
Proactively communicate any problems or issues that may adversely impact a client or the company timely to manager
Ensure work is performed in accordance to Company standards, training, and supervisory direction to ensure compliance with corporate and regulatory standards
Provide general office or administrative support throughout department
Foster a positive and close working relationship with other Company staff, including Medical Management, Special Investigations, Legal, Nurse Case Management, Customer Care, Client Services, Marketing, and Underwriting
Qualification
Required
High School diploma required
Associate's degree from an accredited college or technical school highly preferred
Minimum of six months of relevant experience highly preferred
An equivalent combination of education and experience will be considered
Able to read and interpret documents such as safety rules, operating and maintenance instructions, procedural manuals, claim notes, and claim data fields
Able to write routine reports and correspondence
Able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Able to compute rate, ratio, and percent
Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Able to deal with problems involving several concrete variables in standardized situations
Proficient in Microsoft Office Suite applications (Word, Excel, PowerPoint)
Able to quickly master proprietary and vended software applications
Benefits
Work From Home Program (up to 2 days per week upon eligibility)
Free On-Site Fitness Facility
Garage Parking provided
Paid Time Off
Paid Holidays
Retirements Savings with Immediate Vesting and Company Match
Group Health Insurance (Medical, Dental, and Vision)
Hospital Indemnity Insurance
Life and AD&D Insurance
Long Term Disability Insurance
Paid Community Volunteer Day
Employee Assistance Program
Tuition Reimbursement Program
Employee Referral Program
Diversity, Equity and Inclusion Program
Company
Berkshire Hathaway Homestate Companies - Workers Compensation Division
Financial Strength and Integrity With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.
Funding
Current Stage
Late StageLeadership Team
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