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Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Underwriting Assistant provides set up and administration assistance to the underwriting team. This position will report to the Underwriting set up manager and will work closely with both sales and underwriting. Organizational skills and attention to detail play a key role, as this position sets up and tracks all underwriting folders with account information.   - Set up folders in our shared drive for all information received for new submissions - Run census in Excel spreadsheet for each submission - Log submission in David Young system including benefits, reinsurance terms, and census - Communicate between Sales Reps and Underwriters to ensure all information is complete and accurate
ID
2021-4665
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Clinical Underwriting Nurse I or II will perform individual medical risk analysis on large claimants for proposed ESL, EmCap, and Managed Care new business and renewal business. Review policyholder data to identify claimants with catastrophic care needs and assess medical & claims information available to calculate potential risk.   - Assess medical risk for each identified claimant utilizing all available information and applying appropriate guidelines to meet the financial risk management goals of the company. - Reviews detailed large claim reports from a variety of sources including trigger reports, detailed individual claim reports, pending and denied reports, case management reports, and utilization reports. - Analyzes medical procedures codes, medication J codes, and prescription drug reports to assist in predicting the future claim costs. - Researches rare/complicated medical conditions/treatment options using resources including the internet, nursing, clinical resource tools by state/network. - Presents and documents a clear medical review summary with an analysis of the current clinical conditions and a future annual claim projection to the underwriter. - Stays informed of current medical and drug trends and shares information with team members. - Planning Develop work plans, establish timelines, and set goals for assigned work. - Make necessary referrals to Clinical Cost Containment Services and partner with that team as needed to ensure financial risk management and clinical cost containment effective support based on their clinical needs.
ID
2021-4640
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Underwriting Assistant provides set up and administration assistance to the underwriting team. This position will report to the Underwriting set up manager and will work closely with both sales and underwriting. Organizational skills and attention to detail play a key role, as this position sets up and tracks all underwriting folders with account information.   - Set up folders in our shared drive for all information received for new submissions. - Run census in Excel spreadsheet for each submission. - Log submission in David Young system including benefits, reinsurance terms, and census. - Communicate between Sales Reps and Underwriters to ensure all information is complete and accurate.
ID
2021-4606
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Senior Underwriter 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 position will work cross-functionally with clinical, actuarial, claims and distribution to carry through new and renewal business strategies in a professional and thoughtful manner.  This role is an individual contributor role, working under the supervision of the Underwriting Manager and/or AVP, Underwriting. In this capacity, the Senior Underwriter will manage his/her workload with a sense of urgency around quote deadlines and production targets. This role will require proactive collaboration with underwriting management to review more complex cases requiring a higher degree of underwriting authority.  Duties and responsibilities 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. - Work collaboratively with clinical underwriting staff to ensure adequate risk premium is established based on known, ongoing claimants. - Develop and maintain successful relationships with target production sources within assigned programs, as well as with BAH Sales and Account Management. - Accurately document underwriting thought process and authority reviews through company journal and filing system.
ID
2020-4514
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Assistant Vice President of Underwriting 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 position will work cross-functionally with senior leadership in the areas of underwriting, clinical, actuarial, claims and distribution to formulate new and renewal business strategies and to negotiate complex cases in a professional and thoughtful manner. This position will also strive to innovate in the areas of underwriting operational efficiency, in accordance with the company’s ongoing commitment to innovation and its core behaviors.   This role is both an individual contributor role, where the AVP of Underwriting will maintain a production workload of the more complex cases and business relationships, while also managing a staff of underwriters and providing appropriate guidance, management and mentorship.  Duties and responsibilities include but are not limited to: - Write and retain profitable stop loss cases that require a higher degree of underwriting judgement and discretion. - In addition to transactional underwriting review, proactively manage assigned blocks of business within overall targets set by segment leaders, actuarial and finance, with a strong understanding and appreciation for the varying financial components particular to each segment. - Develop and maintain successful relationships with target production sources within assigned programs. Foster trust and effective collaboration in order to more successfully manage the negotiation of complex cases and programs. - Collaborate with company’s senior leadership team to produce annual financial targets including rate, retention and overall premium growth. Monitor department KPIs, and participate in overall product strategic development. - Oversee the activity assignments and workload balance of assigned underwriting staff. - Support staff on challenging risk evaluations, service situations, and during periods of high case volume. Use these opportunities to promote underwriter training, with an eye towards operational efficiency and consistency in underwriting approach. - Ensure staff is properly composing, preparing, and generating correspondence, proposals, and other reports as needed or required. - Oversee the review of Applications, Policies, Plan Documents/Amendments, and Proposal Contingencies ensuring that they are complete, accurate and in accordance with the sold case terms.
ID
2020-4513
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Senior Stop Loss Underwriter 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 position will work cross-functionally with clinical, actuarial, claims and distribution to carry through new and renewal business strategies in a professional and thoughtful manner. Location is flexible. Duties and responsibilities 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. - Work collaboratively with clinical underwriting staff to ensure adequate risk premium is established based on known, ongoing claimants. - Develop and maintain successful relationships with target production sources within assigned programs, as well as with BAH Sales and Account Management. - Accurately document underwriting thought process and authority reviews through company journal and filing system.
ID
2020-4311
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name Colorado
Berkley Accident and Health is seeking a full-time Regional Sales Manager to develop profitable Captive and Corporate Products business initiatives in an assigned region through a network of preferred producers. Ideal locations include Colorado, Oregon and Washington but other geographies can be considered.    Duties and responsibilities include but are not limited to: - Establish and execute a focused sales plan to identify target markets or create new distribution outlets needed to hit sales goals - Facilitate marketing efforts to utilize alternative distribution methods; i.e. cross marketing through the Berkley family of companies, email blasts and newsletters, and attending industry events and seminars. - Generate and facilitate high monthly volume of pre-qualified submissions for all authorized Berkley Accident and Health products - Provide regular feedback to Home Office on successes and failures in the quote process to allow for adjustments and improve close ratio - Provide monthly updates on pipeline, current, and future activity - Continue to expand product education and develop cross-selling opportunities within territory - Make a minimum of 12 calls per day to prospective customers to build a continuous chain of callbacks, prospects and new opportunities every week, facilitated by a minimum of 3-5 new face to face meetings per week  - Be a proactive listener with customers by identifying needs and collaborating with Home Office to derive innovative solutions
ID
2020-4268
Primary Location
US-CO-
Company Berkley Accident and Health
Location Name TX, Dallas
Berkley Accident and Health is seeking a full-time Regional Sales Manager to develop profitable Captive and Corporate Products business initiatives in an assigned region through a network of preferred producers.  The ideal location is in Dallas but other major Texas cities can be considered    Duties and responsibilities include but are not limited to: - Establish and execute a focused sales plan to identify target markets or create new distribution outlets needed to hit sales goals - Facilitate marketing efforts to utilize alternative distribution methods; i.e. cross marketing through the Berkley family of companies, email blasts and newsletters, and attending industry events and seminars. - Generate and facilitate high monthly volume of pre-qualified submissions for all authorized Berkley Accident and Health products - Provide regular feedback to Home Office on successes and failures in the quote process to allow for adjustments and improve close ratio - Provide monthly updates on pipeline, current, and future activity - Continue to expand product education and develop cross-selling opportunities within territory - Make a minimum of 12 calls per day to prospective customers to build a continuous chain of callbacks, prospects and new opportunities every week, facilitated by a minimum of 3-5 new face to face meetings per week  - Be a proactive listener with customers by identifying needs and collaborating with Home Office to derive innovative solutions
ID
2020-4267
Primary Location
US-TX-Dallas
Loc2
TX, Houston - 2107 CityWest Blvd
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Senior Underwriter 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 position will work cross-functionally with clinical, actuarial, claims and distribution to carry through new and renewal business strategies in a professional and thoughtful manner.  This role is an individual contributor role, working under the supervision of the Underwriting Manager and/or AVP, Underwriting. In this capacity, the Senior Underwriter will manage his/her workload with a sense of urgency around quote deadlines and production targets. This role will require proactive collaboration with underwriting management to review more complex cases requiring a higher degree of underwriting authority.  Duties and responsibilities 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. - Work collaboratively with clinical underwriting staff to ensure adequate risk premium is established based on known, ongoing claimants. - Develop and maintain successful relationships with target production sources within assigned programs, as well as with BAH Sales and Account Management. - Accurately document underwriting thought process and authority reviews through company journal and filing system.
ID
2020-4250
Primary Location
US-NJ-Hamilton Square
Company Berkley Accident and Health
Location Name NJ, Hamilton Square
The Claims Analyst performs a complete quality review and evaluation of all Captive Stop Loss claim submissions received and logged in the David Young Claim System to determine whether the amount requested is eligible for reimbursement under the Stop Loss Policy in force. Ideal locations include Hamilton Square, NJ or Marlborough, MA but other locations including remote/virtual will be considered.    Duties and responsibilities 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. - Elevates issues to next level of supervision, as appropriate. - Exhibit good organizational, oral communication and interpersonal skills while working with internal and external customers. - Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
ID
2020-4094
Primary Location
US-NJ-Hamilton Square
Loc2
MA, Marlborough - 290 Donald J Lynch Boulevard

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