Claims Quality Review Specialist

2 months ago

Dublin, Ireland Berkshire Hathaway Specialty Insurance Full time

Job Opportunity:

 

Berkshire Hathaway Specialty Insurance (BHSI) is seeking a Claims Quality Review Specialist to join the Global Claims Quality Assurance.

This role can be based in any one of our main European locations, including London, Cologne, Paris, Madrid or Dublin.

This position entails regular communication and collaboration with multiple internal stakeholders. The successful candidate values building positive relationships while helping to ensure the high claims handling standards expected at BHSI globally.

Duties & Responsibilities:

The essential job functions of the Claims Quality Review Specialist include the following:

Responsibility for reviewing and evaluating closed and open claim files in multiple regions and for multiple lines of business against the BHSI Claims Service Standards to ensure that company procedures are followed. This will include claims handled by TPA’s on behalf of BHSI as well as claims handled by our internal claims staff. Choose, assign, and track completion of claim file reviews completed by internal stakeholders. Lead internal claim reviews which will entail pre-review data analysis, sample selection, claim reviews, and communication to relevant claims management. Conduct trend analysis and prepare specialized analytic reporting for multiple lines of business and regions, including accounts handled by TPA’s. Develop continuous improvement recommendations and work with claims management to implement continuous improvement initiatives. May be called upon to support product development/enhancement and other projects as needed.

Qualifications, Skills and Experience:

3-5 years of 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. Strong communication (verbal and written) and interpersonal skills. Must be service and risk-management oriented. A self-starter and able to work both autonomously and with a team. Intermediate to expert skills in working with MS Excel. Proficient in MS Word, Excel, and Power Point. Travel may be required and will vary depending on business needs and caseload. May be asked to perform other duties as required by management.

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

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