Claims Correspondence Analyst

Berkley Accident and Health is a risk management company that designs innovative solutions to address unique challenges. The Claims Correspondence Analyst will serve as a first point of contact for inquiries related to claims, handling EOR requests, claim status inquiries, and ensuring compliance with company policies.

Responsibilities

• Respond promptly and professionally to incoming requests regarding: EOR requests, claim status requests/updates and general claim questions from Account Management, Sales, Brokers, Policyholders and Third-Party Administrators
• Review and prescreen information received for initial claim file setups
• Maintain accurate records of all interactions and updates in the claims system and/or shared drive
• Ensure compliance and company policies, regulatory requirements and confidentiality standards by ensuring that all external communications that contain PHI/PII are sent securely
• Provide exceptional customer service by delivering clear, concise and professional communication
• Complete all assigned requests within a 48 to 72-hour handling timeframe
• Projects and other work as assigned

Skills

• High school diploma
• Prior experience in claims processing, healthcare administration or customer service strongly preferred
• Strong organizational skills and attention to detail
• Excellent verbal and written communication skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite software
• Customer-focused mindset
• Problem-solving and critical thinking
• Time management and multitasking
• Adaptability in a dynamic environment

Benefits

• Health
• Dental
• Vision
• Life
• Disability
• Wellness
• Paid Time Off
• 401(k)
• Profit-Sharing plans

Company Overview