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Overview
Curious negotiators who always go for the win-win.
Work on a team that provides world-class claim management and managed care solutions.
You will utilize intelligent technology to deliver interactive risk management solutions.
As a Claims Representative, you will deliver BerkleyNet’s fast and easy customer experience, while investigating claims and negotiating the best outcome for both sides.
As a member of the Claims team, you will have a strong impact on our bottom line. Success in your role means success for the company.
Who we are…
BerkleyNet is an innovative and leading provider of workers compensation insurance and services. We were started in 2006 with the goal of delivering an easier solution for customers - driven by speed and simplicity. Since that time, we've developed a national presence and are recognized for our "Ridiculously Fast, Amazingly Easy" approach to workers compensation. If you are looking to join a fast-paced, energetic and passionate team with room for professional growth and development - BerkleyNet may be a great fit for you.
The BerkleyNet Way is…
- Fearlessly explores new paths
- Generates solutions and positive energy
- Be a community builder
- Be an original
- Embrace ownership and adaptability
- Responsiveness is our reputation
- Communicate openly and share knowledge
- Integrity is non-negotiable
Responsibilities
- Research learn and apply worker's compensation statutes
- Investigate claims as reported and determine eligibility for benefits and administer benefits as warranted
- Address client issues and respond to inquiries promptly
- Manage the progression of the claims process through collaboration with physicians, nurses, attorneys and other parties as needed
- Analyze and process claims with the ability to have ownership of policy and claim transactions
- Translate data and understand department processes, functionality and requirements
- Maintain compliance with federal and state regulations
- Must be able to work independently and within a team environment
- Performs other related duties as required and assigned
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- This position involves the underwriting and assessment of applications for new and renewal energy business for acceptability in accordance with company underwriting guidelines by utilizing sound underwriting and risk management practices.
- Candidate will be responsible for establishing and maintaining relationships with brokers and agents, and will be responsible for overall management, including profitability, of their brokers/agents.
- Candidate will have marketing responsibilities and will be responsible for assigned territories to include development of growth strategies.
- Candidate will be required to understand policy language, application of coverages and conduct coverage interpretation.
- Candidate must be capable of working across the organization to include collaboration with risk services, claim, actuarial, finance/accounting, and IT.
- Candidate must be accountable for managing a profitable portfolio of business.
- This position will be required to travel as needed to maintain strong relationships with agents and customers.
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POSITION SUMMARY/OVERVIEW:
Responsible for managing the underwriting workflow and processes for assigned book of business. Work with underwriters and producers in servicing commercial technology accounts.
ESSENTIAL RESPONSIBILITIES/FUNCTIONS:
The essential functions include, but are not limited to the following:
Handle renewal preparation on accounts within assigned territory as directed by underwriter and /or manager. This includes, but is not limited to:
- Preparing and analyzing account loss history reports
- Ordering and analyzing motor vehicle records
- Order and analyzing modeling to properly evaluate catastrophic exposures such as flood, earthquake and wind exposures
- Ordering risk control surveys
- Preparing risk analysis and working with underwriters to properly evaluate exposures on assigned book of business
- Review and analyze applications and obtain missing information from producers.
- Underwrite and process endorsements
- Communicate with agents on matters pertaining to renewal submissions, endorsement requests and other day to day service items.
- Provide clear instruction and guidance to support staff.
- Maintain records and prepare required reports on activity as needed.
- Document underwriting files to decisions.
- Operate according to underwriting authority as delegated by manager.
- May handle a book of renewal business depending upon experience.
- May perform other functions as assigned.
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Customer Service
- Comply with contractual rules
- Answer all types of customer telephone calls
- Analyze correspondence to determine action needed
- Prepare correspondence and do follow up if necessary
Policy Issuance
- Review all new business policies to determine the agency assigned
- Set up new agencies in the computer
- Assign new business
- Set up new policies in the computer
- Offer renewal to existing policy holders
- Review all new business policies to determine the agency assigned
Policy Maintenance
- Issue endorsements based on correspondence, customer/agent requests, audit of prior year
- Process cancellations/reinstatements
- Update files for agent changes
Policy Audit
- Determine audit type (voluntary reporting or physical)
Accountable For
- Accuracy and integrity of data in the computer, on the policy, renewal offer, cancellation, endorsement and all other documents distributed outside or inside the organization
- Meeting policy issuance standards for new and renewal policies
- Meeting timeliness standards based on individual contract agreements and departmental standards
- Meeting team timeliness and quality standards
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Main Responsibilities:
- Open, sort, and distribute incoming mail
- Identify and distribute specialty mail on a priority basis daily
- Print and sort checks, prepare for mailing
- Data entry
- Monitor and handle incoming faxes
- Prepare and scan claim documents
- Prepare and enter claim reports
- Provide backup coverage & assistance within the department
Administrative Services Clerk may specialize in one area of the claims processing function, such as mail & claim processing, payment & accounting transactions, or financial compliance.
Processing Mail and Entering Claims
- Research mail, reported claims and phone calls via a PC
- Identify duplicate claims
- Open, identify and distribute incoming mail
- Identify priority mail and distribute same day as received
- Pick up paper claims (‘file backs’) and file per the claim’s status
- Print, sort, log and prepare checks for mailing
- Accurate Data Entry
- Monitor and distribute incoming faxes
- Prepare, scan and store claim documents
- Monitor, prioritize and index incoming mail/documents using Captiva software
- Maintain and monitor performance of department scanner and printers (toner orders and replacement)
- Prepare and enter reported claims (P&C Claims, FROIs, etc)
- Set up paper files as needed
- Prepare and process claim acknowledgements and/or confirmations daily
- Prioritize to enter the reported claim to meet statutory deadlines and/or performance guidelines
- Make phone calls to our accounts to request missing information on a reported claim
- Pursue clarification of coding and assignment of new claims with the Claim Handler or Office Services Supervisor
- Identify policy coverage, if appropriate
- Select/assign accurate codes to reported claims
- Correct entry errors upon request of Claim Handler/Office Services Supervisor
- Provide backup coverage and assistance within the department
Processing Payments and Entering Accounting Transactions
- Research claim data, approved bills and payment screens in multiple databases via a PC
- Identify duplicate bills
- Investigate billing of services with inappropriate codes or missing information.
- Enter medical bill data and codes in Power Trak (work comp) to generate payment per the MN Fee Schedule
- Code bills with appropriate diagnosis/procedure codes for each bill line item, claim and provider tax identification number
- Enter approved payment via the check menu and voucher process
- Enter approved Accounting Transactions such as voids, recoveries, and refunds
- Generate payment within 24 hours of Claim Handler payment approval date
- Review billing queue in Power Trak (work comp) at the end of the day to resolve User errors
- Request vendor changes/additions to accommodate accurate payment
- Notify Claim Handler of system-generated payment delays
- Notify Claim Handler of low reserves; copy supervisors
- Pursue clarification of payment direction and/or billing questions with the Claim Handler
- Provide coding and bill review assistance to Claim Staff to make payment
- Provide coding and bill review assistance to Claim Staff to support Medicare requirements
- Coordinate/report provider reconsiderations and the response per Office procedure
- Maintain an up to-date Fee Review Manual (work comp)
- Provide backup coverage and assistance within the department
Processing Financial Compliance
- Enter approved Accounting Transactions such as voids, recoveries, pay code transfers and refunds
- Process the escheatment procedure at the direction of the Minneapolis accounting department and upon approval/clarification of the Office Services Supervisor or Claim Handler
- Research claim notes to process receipt of checks to post or void; initiate and complete the processing
- Research, assist and respond to 1099 issues
- Log receipt and posting of all 3rd party checks (Outside checks)
- Route ‘live checks’ to LMCIT Finance in compliance with forensic audits
- Log and monitor voids
- Log legal payments made on behalf of LMCIT Legal Department (work comp)
- Submit requests for vendor addition/update
- Bill Home Insurance accounts and log/process receipt of payment (work comp)
- Support and coordinate deductible process for both WC and P&C
- Assist with data validation
- Coordinate with Claims and the Tech Specialist re: coding, Supplementary Benefit Wins screen and preparation for the actuarial audit (work comp)
- Enter approved payment via the voucher process
- Assist with the distribution of Loss Runs (work comp)
- Assist with the Iron Mountain off-site storage logs
- Box up closed files, index and arrange for storage
- Pull, recall stored files as needed
- Review month-end reports for bank code accuracy, negative numbers indicating a deductible refund, etc.
- Process fraudulently cashed checks under the direction of Minneapolis accounting department
- Coordinate with Underwriting re: late premium payments, deductibles, cancellations, etc.
- Provide backup coverage and assistance within the department
- May perform other functions as assigned.
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The investment application team is responsible for overseeing all activities needed by the Corporate investment accounting team. Specific responsibilities of the team include development of and continuous enhancements to the investment data warehouse, maintain and upgrade investment application software and the hardware, develop bolt on applications when delivered functionality does not meet business needs, build reports as needed, vendor management and support for end users. This role will be responsible for providing both directional leadership for the function, direct project and personnel leadership to this team as well as contributing to the ongoing development.
Key Accountabilities:
- Define and implement the Investment Accounting team’s vision to improve the speed and quality of investment solutions.
- Develop and maintain best practices to ensure maintainable, reusable, and valuable outcomes.
- Ensuring all production application releases are appropriately tested.
- Ensure the required audit artifacts are maintained to fulfill related compliance requirements.
- Develop and enhance the investment data warehouse; Ensure the tooling used for the supported functions is maintained and optimally utilized
- Work with developers, business analysts, customers, and technical services as part of multi-discipline teams to develop creative and innovative solutions.
- Develop, monitor, and optimize the annual budget for the team.
- Define and provide oversight (project management) for any projects lead by the team.
- Develop and mentor team members
- Generates regular reports demonstrating team activities to ensure CSFs, KPIs and organizational goals are maintained.
- Approximately 25% travel required.
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Overview
Pragmatic and innovative software tester.
Be a key member of a fast paced, delivery focused team building IT Solutions. Provide excellent product support to a range of parties involved.
Who we are…
BerkleyNet is an innovative and leading provider of workers compensation insurance and services. We were started in 2006 with the goal of delivering an easier solution for customers - driven by speed and simplicity. Since that time, we've developed a national presence and are recognized for our "Ridiculously Fast, Amazingly Easy" approach to workers compensation. If you are looking to join a fast-paced, energetic and passionate team with room for professional growth and development - BerkleyNet may be a great fit for you.
The BerkleyNet Way is…
- Fearlessly Explore New Paths
- Generate Solutions and Positive Energy
- Responsiveness is our Reputation
- Integrity is non-negotiable
- Embrace Ownership and Adaptability
- Be a Community Builder
- Be an Original
- Communicate openly and share knowledge
Additionally, the ideal candidate for this position possesses the following:
- Ability to effectively multitask with strong attention to detail
- Program and process troubleshooting, finding patterns and logical thinking
- Excellent business analysis and communication skills
Responsibilities
Work collaboratively with developers, analysts and business units to deliver on our quality commitments, QA strategy and product development needs. Develop test plans and test scripts to expand our test libraries and advance our automated testing framework.
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This position requires working knowledge of infrastructure department workflow, infrastructure technology, and project management. The role’s primary responsibility will be to ensure the timely completion of information security strategic projects and coordination of with infrastructure and application development project managers.
This role will be accountable for the management of multiple projects primarily involving infrastructure teams and will work in tandem with other project management resources to help ensure that BTS standards, policies, and procedures are followed accordingly.
Key Accountabilities
- Development and standardization of work plans, project dependency mapping, organization of costs and labor, document lessons learned, communicate progress, and track/communicate/escalate issues, risks, and changes.
- Delivering projects on time and on budget.
- Setup and manipulation of projects in the Project Portfolio Management system.
- Customer facing coordination and communication will be an essential requirement in order to be successful in predicting work plans and project delivery time lines.
- Build and enhance relationships with internal application team partners, seeking to drive and foster collaboration and team work.
- Consult or negotiate with technical team leads and other project management resources to define and prepare project costs and dependency mappings for resources. Confer with management, production, and engineering staff to discuss project and service delivery impacts to the business.
- Has responsibility to comply with organizational standards, programs, systems, and policies.
- Minimal travel time expected
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Seeking a full stack developer to leverage their skills as an important member of a development team. You will work in an agile environment
designing, constructing and implementing solutions. The solutions could include the following: highly performant services, building web interfaces,
User Interface work and server side code using various technologies.
Key Accountabilities
- Demonstrates a robust understanding of all functional and technical aspects of a system
- Can produce significant new system functionality or defect resolution with minimal direction
- Creates design specifications that demonstrate an understanding of most interfacing systems and supported business processes. (can understanding business processes go to the developer/analyst).
- Routinely proposes improvements to a system to improve supportability or usability
- Can be consulted to provide recommendations to solve business issues based on experience and knowledge of current technology
- Demonstrates solid development processes including code review, documentation, and unit testing
- Ensure high-performing and scalable solutions by proactively monitoring and assessing various performance metrics both pre and post-implementation
- Provide end user mentoring and training in 1-1 and small group settings
- Partner with the various subsidiaries to create a vision for future advancement of our applications
- Travel for this position is approximately 5-10%
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This position will play a key role in success of business critical projects by defining overall solution architecture focusing on Security, Integration, Data and Non-functional domains of solution architecture. This role may have responsibilities for multiple programs or projects at the same time. Most project resources are responsible for a single system with regard to things like re-usability, risk reduction, and simplicity. This role is responsible for representing these same types of interests with the overall solution in mind while balancing against the delivery timelines and budget. This role will also take on the responsibility of Berkley’s shared application authentication and single sign on platform based on ADFS framework. Platform also contains some home grown complimentary .Net components. This role will be maintain and socialize the long term roadmap, provide long term strategy as well as some production and hands on development support as needed.
Key Accountabilities
- Defines the optimal usage of technology and system capabilities across multiple systems to optimize a business or technical process.
- Defines system interface specifications to optimize the reusability, supportability, and performance of technology solutions.
- Demonstrates and understanding of the organizational model system support and considers it in system design decisions.
- Demonstrates a mastery of a broad technology landscape that spans the application, middleware, and infrastructure levels.
- Ensure high-performing and scalable solutions by proactively monitoring and assessing various performance metrics both pre and post-implementation.
- Partner with the various subsidiaries to create a vision for future advancement of our applications.
- Maintain the Berkley identity platform roadmap and provide production and development support as needed.
- Travel for this position is approximately 10-25%.
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Position Summary/Overview
This position will serve as a technology underwriting specialist in an assigned region delivering profitable growth and excellent community, employee, and customer relations. Our ideal candidate will have commercial technology or commercial middle market experience.
Main Responsibilities Include:
Underwriting Management
- Responsible for generating profit, growth and retention results within assigned territory
- Lead business initiatives for territory which include generating business opportunities, pricing, premium retention, coverage analysis, loss control needs, claim service needs and account stewardship
- Manage underwriting staff within territory
- Mentor underwriting support staff and operations staff
- Establish business plans on an annual basis for assigned territory
- Product training for underwriting staff
- Follow established pricing, underwriting and documentation protocol as set forth by underwriting management
Agency Management
- Agency management including planning and driving results
- Target new producer partner agencies within assigned territory
- Lead sales and marketing efforts within assigned territory
- Product training for producers
- Occasional overnight travel
- May perform other functions as assigned.
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We are looking for a front-end developer who is creative, passionate and skilled at developing applications that run in the latest browsers. Your responsibilities include working with user experience designers, engineers, business analysts and product owners to create the functional and visual implementation of a designed interface. You must be able to collaborate effectively as you will be taking an active role in defining the technical requirements for a web application.
Key Accountabilities
- Work with WRBC companies, business analysts, technical staff, and project team members to plan, design, develop, implement and enhance the user experience of applications.
- Define and implement the front end architecture that will provide the best user experience, that is both scalable and reusable with cross browser capability.
- Develop, Implement and support reusable interface components.
- Provide technical expertise for UI, front-end web and mobile development.
- Travel for this position is approximately 5-10%
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This position will be providing support of one or more applications to various member companies of the corporation. The position will involve developing, implementing, and supporting technical solutions for customers.
Key Accountabilities
- Supports company BA/BCA and development staff in creation of application and system integration
- Provide tier 2 service desk application support and trouble shooting.
- Develops and executes simple SQL scripts to analyze data and create reports
- Monitor / track issues until resolution and determine impacts resulting from issue
- Able to provide root cause analysis when troubleshooting system issues and implement solutions to prevent recurrence
- May be asked to run small to mid-sized projects
- Develops advanced requirements based on customer request and/or requirements. Assist in writing requirements, design, testing and/or initiation of projects to help provide solutions for our customers.
- Develops technical specifications to solve a business need or problem
- Identifies and implements complex solutions that may cross multiple teams and applications
- Coordinates software release schedule and approval process with development staff, Business System Analysts, and other BTS staff
- Develops and executes SQL commands for data changes. May also include report generation
- Monitor or track tasks until completion to insure delivery to customers
- Active participant in design sessions and other technical meetings involving system changes
- Work with business to understand system issues
- Knowledgeable on components within an application or applications.
- Communicate issues effectively to multiple levels within the organization
- Recreate issues and document requirements for bug fixes and/or system enhancements
- Create documentation and training materials, Provide end-user training to internal and external customers
- Assists in release software upgrades to customers (internal/external to BTS), including testing
- Travel for position is up to 15%
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This position will be providing overall requirements gathering, design, development and support of one or more company applications for the various subsidiaries of the corporation.
Primary Duties & Responsibilities
- Demonstrates a robust understanding of all the business processes and system interfaces of a system.
- Can design significant new system functionality with a consideration of performance, stability, and supportability.
- Reviews and provides feedback on business requirements to fully leverage technology to improve business functions.
- Defines standards and design patterns / paradigms for system development within a team.
- Demonstrates problem solving skills that span the application, middleware, and infrastructure levels.
- Provides guidance on BTS development standards and quality expectations to employees entering the job family.
- Demonstrates a robust understanding of all functional and technical aspects of a system.
- Can produce significant new system functionality or defect resolution with minimal direction.
- Creates design specifications that demonstrate an understanding of most interfacing systems and supported business processes. (can understanding business processes go to the developer/analyst).
- Routinely proposes improvements to a system to improve supportability or usability.
- Can perform adequate peer review on any changes in the system.
- Can be consulted to provide recommendations to solve business issues based on experience and knowledge of current technology.
- May provide rotating on-call support of production systems.
- Provide end user mentoring and training in 1-1 and small group settings.
- Partner with the various subsidiaries to create a vision for future advancement of our applications.
- Travel for this position is approximately 5-10%.