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Berkshire Hathaway Homestate Companies - Workers Compensation Division · 1 month ago

Utilization Review Assistant (Workers Compensation)

Omaha, Nebraska

Full-time

Hybrid

New Grad, Entry Level

0+ years exp

Berkshire Hathaway Homestate Companies is a national insurance group with over 50 years of experience, dedicated to strong relationships and integrity. The Utilization Review Assistant is responsible for ensuring timely and accurate data collection for utilization and independent medical reviews, while also providing general administrative support within the department.

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

Data entryMedical document managementMicrosoft Office SuiteIndependent medical reviewCommunication skillsMathematical skillsProblem-solvingTeam collaboration

Required

High School diploma required

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

Preferred

Associate's degree from an accredited college or technical school highly preferred

Minimum of six months of relevant experience highly preferred

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

Glassdoor3.4

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.

Founded in 1970

Omaha, Nebraska, USA

501-1000 employees