Berkshire Hathaway Homestate Companies - Workers Compensation Division
Background & Data Intelligence Analyst
The analyst will perform data mining, conduct research on backgrounds, prepare visual aids, and analyze patterns for investigations into insurance fraud.
Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Background & Data Intelligence Analyst to join its Special Investigations Unit! This individual will aid the SIU team in the investigation of insurance fraud by performing research on a person or entity's background through subscription-based and publicly-available forums, as well as perform data mining of internal systems and subsequent analysis pertinent to Claimant, Premium, and Provider investigations.
Must be legally authorized to work in the United States, without requiring, now or in the future, sponsorship for employment visa status.
ESSENTIAL RESPONSIBILITIES
- Perform data mining of internal systems to detect claims and billing patterns relevant to specific investigations. Collect and organize data for timely submission to regulatory and law enforcement authorities.
- Conduct research using publicly available and subscription-based databases; maximize the utilization of web-based resources to advance investigations.
- Prepare charts, spreadsheets, and other visual aids for presentations to management, counsel, and law enforcement. Create and modify reports/queries on SIU activities.
- Identify and analyze questionable patterns and other red flags (Claims, Premium, or Provider) in order to identify documents for further review by investigator.
- Foster a positive working relationship and regular communications between the SIU and other departments, primarily Claims, Client Services, Premium Audit, Medical Management/Bill Review, and Data Analytics.
QUALIFICATIONS
- Education: High School Diploma or equivalent certificate required. Associate's or Bachelor's degree from an accredited college or university preferred.
- Experience: Minimum of 2 years of related experience and/or combination of training and experience in data analytics, and extensive experience with a variety of social media platforms, required.
- Math and Reasoning Ability: Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, graph, or schedule form. Ability to apply concepts such as addition, subtraction, multiplication, division, fractions, percentages, ratios, and proportions to practical situations. Ability to derive appropriate conclusions and apply on the job.
REQUIRED TECHNICAL SKILLS
- Experience with programming languages such as SQL and Python for data extraction and analysis.
- Experience with data visualization tools such as PowerBI.
- Experience researching profiles on major social media platforms (e.g., Instagram, Twitter (X), Facebook) and conducting background research on subscription-based forums.
- Proficiency with Microsoft Office 365 (Outlook, Word, Excel, PowerPoint). Ability to be proficient on applicable databases, systems, and vendor software programs.
WHAT WE OFFER
- Hybrid Work Schedule (up to 2 days work from home upon eligibility)
- Multiple Office Locations - Financial District Downtown or Walnut Creek
- Paid Time Off
- Paid Holidays
- Immediate Vesting of Retirement Savings + Company Match
- Group Health Insurance (Medical, Dental, and Vision)
- Life and AD&D Insurance
- Long Term Disability Insurance
- Hospital Indemnity Insurance
- Accident and Critical Illness Insurance
- Flexible Savings Accounts
- Paid Community Volunteer Day
- Employee Assistance Program
- Tuition Reimbursement Program
- Employee Referral Program
- Diversity, Equity and Inclusion Program
ABOUT US
With more than 50 years in business, Berkshire Hathaway Homestate Companies (BHHC) has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.
Top Skills
Microsoft Office 365
Power BI
Python
SQL
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