Berkshire Hathaway Homestate Companies - Workers Compensation Division · 16 hours ago
Background & Data Intelligence Analyst
Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Background & Data Intelligence Analyst to join its Special Investigations Unit. This role involves investigating insurance fraud through data mining and research, as well as preparing visual aids for presentations and fostering communication between departments.
Financial ServicesInsurance
Responsibilities
Perform data mining of internal systems to detect claims and billing patterns relevant to specific investigations. Collect and organize data for timely submission to regulatory and law enforcement authorities
Conduct research using publicly available and subscription-based databases; maximize the utilization of web-based resources to advance investigations
Prepare charts, spreadsheets, and other visual aids for presentations to management, counsel, and law enforcement. Create and modify reports/queries on SIU activities
Identify and analyze questionable patterns and other red flags (Claims, Premium, or Provider) in order to identify documents for further review by investigator
Foster a positive working relationship and regular communications between the SIU and other departments, primarily Claims, Client Services, Premium Audit, Medical Management/Bill Review, and Data Analytics
Qualification
Required
Must be legally authorized to work in the United States, without requiring, now or in the future, sponsorship for employment visa status
Education: High School Diploma or equivalent certificate required
Experience: Minimum of 2 years of related experience and/or combination of training and experience in data analytics, and extensive experience with a variety of social media platforms, required
Math and Reasoning Ability: Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, graph, or schedule form. Ability to apply concepts such as addition, subtraction, multiplication, division, fractions, percentages, ratios, and proportions to practical situations. Ability to derive appropriate conclusions and apply on the job
Experience with programming languages such as SQL and Python for data extraction and analysis
Experience with data visualization tools such as PowerBI
Experience researching profiles on major social media platforms (e.g., Instagram, Twitter (X), Facebook) and conducting background research on subscription-based forums
Proficiency with Microsoft Office 365 (Outlook, Word, Excel, PowerPoint). Ability to be proficient on applicable databases, systems, and vendor software programs
Preferred
Associate's or Bachelor's degree from an accredited college or university preferred
Benefits
Hybrid Work Schedule (up to 2 days work from home upon eligibility)
Multiple Office Locations - Financial District Downtown or Walnut Creek
Paid Time Off
Paid Holidays
Immediate Vesting of Retirement Savings + Company Match
Group Health Insurance (Medical, Dental, and Vision)
Life and AD&D Insurance
Long Term Disability Insurance
Hospital Indemnity Insurance
Accident and Critical Illness Insurance
Flexible Savings Accounts
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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