Background & Data Intelligence Analyst

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

Work-Life Balance Work From Home Program (up to 2 days per week upon eligibility) Modernized Historical Setting in East Sacramento Free Lot Parking Paid Time Off Paid Holidays Retirements Savings Match Group Health Insurance (Medical, Dental, and Vision) Hospital Indemnity Insurance Life and AD&D Insurance Long Term Disability 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