Claims Correspondence Analyst

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1 #LI-Hybrid

This position will be based in our offices:

• Hamilton Square, NJ
• Marlborough, MA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

The Company is an equal employment opportunity employer.

Responsibilities

The Claims Correspondence Analyst will serve as a first point of contact for inquiries related to claims. This role is responsible for handling Explanation of Reimbursement (EOR) requests, claim status inquiries, general claim-related questions, and prescreening information received for initial claim file setups. The ideal candidate will have strong communication skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

What you can expect:

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
• Internal mobility opportunities 
• Visibility to senior leaders and partnership with cross functional teams
• Opportunity to impact change
• Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

• 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

Qualifications

What you need to have:

• 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

Additional Company Details

Sponsorship Details