Job Details

Utilization-Review-Assistant

Company name
Berkshire Hathaway Homestate Companies

Location
Omaha, NE

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Profile

Apply Here\r
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NOTE: BHHC does not conduct interviews via social media (e.g. Google hangout, LinkedIn, etc.). Please be aware that any such contact is fraudulent and we advise that you not provide any personal information.\r
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WHO WE ARE:\r
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As a member of the Berkshire Hathaway group of insurance companies, we offer outstanding opportunities for professionals interested in working with a successful company. We offer unparalleled financial strength, stability and “large company” benefits, in addition to an exciting, friendly, “small company” atmosphere.\r
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POSITION DESCRIPTION:\r
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Berkshire Hathaway Homestate Companies has an opening in our Omaha, NE location for a Utilization Review Assistant. The Utilization Review Assistant ensures the timely and accurate collection of documents for independent medical review.\r
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ESSENTIAL RESPONSIBILITIES: \r
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\tEfficiently organize, prepare, image and download medical reports and claim letters while maintaining data integrity.\r
\tTriage and manage intake coordination of independent medical requests.\r
\tExamine requests for legibility and take appropriate action to ensure accuracy of documentation.\r
\tAccurately enter data timely to track independent medical requests and final determinations. \r
\tProactively communicate any problems or issues that may adversely impact a client or the company directly to the supervisor.\r
\tEnsure work is performed in accordance to Company standards, training, and supervisory direction to ensure compliance with corporate and regulatory standards.\r
\tProvide general office or administrative support throughout department.\r
\tFoster a positive and close working relationship with other Company staff, including medical management, special investigations, legal, nurse case management, the call center, client services, marketing, and underwriting.\r
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QUALIFICATIONS: \r
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\tEDUCATION\/EXPERIENCE: Associate’s degree from an accredited college or technical school; or at least six months of relevant experience and training; or an equivalent combination of education and experience. \r
\tLANGUAGE ABILITY: Ability to read, comprehend and interpret simple instructions, procedural manuals, claim notes, and claim data fields; Ability to write routine reports and correspondence; Ability to effective present information in one-and one and small group situations to employees of the organization. \r
\tMATH ABILITY:  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals;  Ability to compute rate, ratio, and percent.\r
\tREASONING ABILITY: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form; Ability to deal with problems involving several concrete variables in standardized situations.\r
\tCOMPUTER SKILLS: To perform this job successfully, an individual must have knowledge of Microsoft word processing software and Microsoft spreadsheet software; Ability to quickly master proprietary and vended software applications.\r
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COMPREHENSIVE BENEFITS PACKAGE:\r
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\tHealth and wellness – low premiums for medical, dental and vision coverage; FSA and EAP benefits\r
\tCompany paid Life, Disability and AD&D benefits\r
\tEmployee Retirement Savings Plan with employer match up to 5% of compensation\r
\tGenerous Paid Time Off and Holidays\r
\tEducation Assistance Reimbursement\r
\tRecognition and Rewards Programs\r
\tCompany Store\r
\tDiscounts across Berkshire Hathaway Inc. companies such as GEICO, See’s Candies, etc.\r
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ABOUT US:\r
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The Berkshire Hathaway Homestate Companies (BHHC) is a group of six insurance companies that are part of the Berkshire Hathaway Insurance Group. Our Workers Compensation Division provides premier workers compensation insurance coverage to employers across the country, with offices in San Francisco, San Diego, Pasadena, Omaha, St. Louis, Atlanta, and Dallas.\r
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As a member of the Berkshire Hathaway Insurance Group, BHHC has earned an enviable record of success in the insurance industry that is supported by an A A.M. Best rating for the last 10 consecutive years. Our corporate size enables our organization to react swiftly and effectively to opportunities in the insurance marketplace. At the same time, our financial strength provides our agents and insureds security and makes us one of the best brands in the marketplace.\r
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We value each individual and recognize that attracting and retaining high quality talent is essential to the success of our company. Our structure minimizes bureaucracy and creates an environment that encourages our employees to see the direct effects of their hard work throughout the company. Each division provides hands on training and maintains a small company feel, creating an atmosphere in which 'team players' thrive.\r
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Within the last six years BHHC Workers Compensation has seen significant growth, and we’re continuing to grow as we build one of the largest Workers Compensation companies in the country – join us!\r
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This organization participates in E-Verify. For more information on E-Verify, please contact DHS: 888.897.7781 www.dhs.gov\/E-Verify.\r
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We
will consider for employment qualified applicants with criminal histories as required by local ordinance. Additionally, no applicant will be denied employment solely on the grounds of conviction of a criminal offense except to the extent necessary to obtain a necessary license or to comply with The Violent Crime Control and Law Enforcement Act of l994, which prohibits the employment by an insurance company of persons convicted of certain crimes, unless a waiver is obtained.

Company info

Berkshire Hathaway Homestate Companies
Website : https://www.bhhc.com/

Company Profile
Today, BHHC has expanded its footprint nationally, while remaining committed to our heritage of offering the personalized service of a local home state insurance company. Our local presence, combined with our unparalleled financial strength, has resulted in knowledge, experience and staying power, allowing us to provide you solid and secure insurance products.

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