Click column header to sort
We have an opportunity for an Account Manager to join our Berkley Accident and Health team! You will handle the day to day activities associated with our stop loss accounts, providing support to policyholders, brokers and program sponsors. We will consider candidates with general insurance industry experience, we are open to train in stop loss.
This role can be based in our offices in either: Hamilton, NJ or Kulpsville, PA
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Manage all aspects of stop loss account activity post sale (new business and renewal) for an account including collection of outstanding requirements for policy issuance
- Schedule and conduct onboarding calls, when necessary to ensure a positive initial customer experience
- Establish account files through onboarding process, including contact informatEOR, EOR and claim reimbursement method, updating the Group Captive Division database, initiating reporting TPAs TPAs, setting up commissions and assignment of account manager in our David Young System
- Primary service contact for assigned stop loss book of business including claims payment inquiries, premium remittance and collection, establishing/reviewing commissions/sub-producer fees and collection of outstanding requirements to ensure timely policy issuance. Identify and resolve any issues that come up in these areas.
- Review overdue premium reporting monthly, pursue any overdue premiums and work with Premium Collection team to ensure that all shortfalls or overpayments are resolved satisfactorily
- Review commission payment summaries monthly for accuracy and take any remediation on a timely basis to ensure that incorrect payments are minimized
- Manage communication with the broTPA, TPA and policyholder as needed to ensure appropriate administration of the policy
- Review and distribution of implementation materials to brokers for transmittal to policyholder
- Collaborate with all functional areas within the company including but not limited to Business Development/Sales, Underwriting, Claims, and Policy Issuance teams
- Special projects as assigned
We have an opportunity for a Business Project Manager to join our Berkley Accident and Health (BAH) team! You will provide meeting and project management support to the Program Management team, assisting in the day to day management and oversight of programs, including but not limited to tracking and managing captive membership deliverables, collateral status, as well as the development of systems to track and manage our captive program business.
This role will be based in our Hamilton, NJ office
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Coordinate with Program Management team and assist in projects in support of our Captive Division as needed
- Monitor new business and renewal activity and manage the distribution of captive related information using our SharePoint site
- Schedule, manage, and take minutes for weekly calls to review program status
- Develop relationships with appropriate day to day key contacts with our program managers, finance, program sponsors and PM team sponsors to ensure timely and appropriate administration of the workflow and life cycle
- Effectively interact with all functional areas within the company including but not limited to BAH Sales, Underwriting, and Finance teams
- Oversee vendor billing or reporting, as required
- Work with our Account Management team and coordinate timely receipt of TPA monthly aggregate reports
- Special projects as assigned
We have an opportunity for an Underwriting File Analyst to join our Berkley Accident and Health (BAH) team! You will be a member of a cross-functional team consisting of Underwriters, Metrics Analysts, and Clinicians who are responsible for claims file scrutiny and file analysis in an environment that maintains systems that support business workflows. Heavy use of Excel.
This position will be based in our West Hartford, CT office
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Actively participate as a member of an Underwriting team supporting business processes and administrative workflow
- Perform high level analysis of claims files and place the file into the appropriate repository for analysis
- Communicate with business stakeholders and management members in the observance of potentially high dollar diagnosis
- Assess business objectives and consistently deliver results to support advancement of the objectives
- Participate in discussions regarding the design of user interfaces and workflows
- Assist with the triaging appropriate claims files for review into a claims analysis platform
We have an opportunity for a Clinical Risk Manager to join our Berkley Accident and Health team! You will perform medical risk analysis for Traditional, Captive, and Managed Care business lines.
The primary function is to review data to identify claimants and assess potential risks.
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Review detailed claim reports from a variety of sources to predict current and future claim costs
- Research medical conditions and treatment options using available resources
- Document the medical review clearly, including an analysis of current clinical condition(s) and future annual claims projection
- Provide clinical guidance to other team members as needed
- Strategize and prioritize work load to achieve timelines and set goals for assigned work
- Makes referrals to Clinical Cost Containment Services, and collaborate as needed to support their activities
- Stays informed of medical and drug trends, sharing information with team members
We have an opportunity for an Account Executive (Employee Benefits) to join our Berkley Accident and Health team! You will be responsible for supporting the sales, growth, and retention objectives for Berkley’s captive program business.
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Support the stop loss sales process for existing and prospective captive programs
- Coordinate and manage program strategic and pricing renewal discussions across all operational areas
- Oversee new business RFP and sales activity for each program
- Interact and establish relationships with key program personnel on all sales related activities
- Support general support needs for Business Development Vice Presidents
- Guide producers and new members through the implementation and membership process
- Work closely with Account Management to transition new business
- Support various sales and marketing related projects to support business growth
We have an opportunity for an Underwriting Associate join our Berkley Accident and Health (BAH) team! This role will be based in our Hamilton, NJ office.
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Review cases completed by the setup team to verify completeness and accuracy of the RFP entry into David Young System (DYS) according to RFP specifications
- Initiate communication with external parties, including TPAs and brokers, to request any missing documentation or on declinations
- Ensure folders on the shared network drive contain the entire RFP and that the RFP documents are housed in the appropriate folders for each case
- Input both the specific and aggregate claims experience in the underwriting system, paying close attention to any missing information or information that requires compilation from multiple sources
- During claim experience input, initiate screening of potential claimants of concern to present to the Underwriter
- Using guidance learned from training and mentorship, begin to formulate initial rating recommendations to Underwriter, utilizing the Journal notes in the system
- Participate in underwriting review discussions in order to learn how Underwriters draw conclusions and make final risk selections from data presented during the setup and initial review process
We have an opportunity for an Underwriter/Sr. Underwriter (based upon experience) to join our Berkley Accident and Health (BAH) team! You will seek profitable growth of the company’s portfolio of stop loss business by analyzing and selecting risks based on qualified underwriting criteria that adhere to the company’s established underwriting guidelines.
This role can be based in any of our following office locations: Hamilton, NJ; West Hartford, CT; Kulpsville, PA; or Marlborough, MA
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Write and retain profitable stop loss cases adhering to the company’s guidelines and within assigned letter of authority
- Establish the basics of medical underwriting by training with and learning from the Company’s internal Clinical Underwriting staff
- Properly complete and clearly articulate thought process around risk selection and pricing for efficient reviews with underwriting management and clinical staff
- Become acquainted with target production sources as well as BAH Sales and Account Management teams and begin establishing his/her own relationships using effective forms of communication
- Accurately document underwriting thought process and authority reviews through company journal and filing system
We have an entry level opportunity for an Underwriting Assistant to join our Berkley Accident and Health team! You will provide set-up and administration assistance to our underwriting team. Attention to detail and organizational skills are critical, as this position sets up and tracks all underwriting folders with account information.
This role will be based in our Hamilton, NJ office
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Set up folders in our shared drive for all information received for new submissions
- Run census in Excel spreadsheet for each submission
- Log submissions into our underwriting system including benefits, reinsurance terms, and census information
- Communicate between Sales Reps and Underwriters to ensure all information is complete and accurate
We have an opportunity for a Regional Sales Manager to join our team! You will drive new business through identifying and building strong relationships with key distribution partners and clients within the Midwest/Central territory for Berkley Accident and Health, Specialty Accident products. You will contribute by using your sales and market expertise to help shape our product and distribution expansion strategies across the territory.
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
This is a remote position traveling within the Western/Mountain regions
Key functions include but are not limited to:
- Identify and meet in person with prospective distribution partners to help expand our Specialty Accident footprint at Berkley Accident & Health (BAH)
- Generate and manage a strong pipeline of accounts and new distribution opportunities with the goal of meeting or exceeding an annual new business premium and profitability goals
- Collaborate with Marketing and Underwriting to execute sales strategy within the territory
- Attend in person broker meetings, conferences and networking events
- Solicit and share feedback from distribution with underwriting, marketing and operational support teams
- Deliver consistent excellent customer service in line with our brand promise
- Strategize with BAH Captive and ESL partners, in addition to other W.R. Berkley companies, to uncover multiple cross sell opportunities
- Be a key contributor to the development and execution of our national strategic growth initiatives
We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident and Health team! You will perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.
This role can be based in any of our offices in: Hamilton Square, NJ; West Hartford, CT; Kulpsville, PA; or Marlborough, MA
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
Key functions include but are not limited to:
- Process an average of 5 to 7 claims per day
- Maintain a processing accuracy of 99% or better
- Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
- Review and adjudicate claims within approved authority limits
- Maintain assigned claim block and assist other team members while meeting departmental guidelines
- Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
- Elevate issues to next level of supervision, as appropriate
- Other duties as assigned
We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident and Health team! You will perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.
We have a welcoming culture valuing our employees – we trademarked the phrase Everything Counts, Everyone Matters® to describe the Berkley commitment to our people and how we do business. We believe that every person in the organization is important and every accomplishment makes a difference in our results. Come join us!
This role can be based in any of our offices in: Marlborough, MA, Hamilton Square, NJ; West Hartford, CT; or Kulpsville, PA
Key functions include but are not limited to:
- Process an average of 5 to 7 claims per day
- Maintain a processing accuracy of 99% or better
- Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
- Review and adjudicate claims within approved authority limits
- Maintain assigned claim block and assist other team members while meeting departmental guidelines
- Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
- Elevate issues to next level of supervision, as appropriate
- Other duties as assigned