Berkshire Hathaway Specialty Insurance – United States

BHSI – Healthcare, Casualty, and Specialty-Programs Partner Supporting Senior-Care-Related Risks

Supporting Senior-Care Ecosystems Through Healthcare Professional-Liability and Specialty-Program Capacity

Berkshire Hathaway Specialty Insurance (BHSI) is a global specialty insurer providing commercial property, casualty, healthcare professional-liability, executive/professional lines, transactional-liability, surety, and travel products. Within this portfolio, BHSI maintains a strong healthcare-professional-liability and casualty presence and operates dedicated Specialty Programs and a global claims-leadership team. Senior-care risk often appears within these healthcare and program structures.

Who Is BHSI in Healthcare and Senior-Care-Related Risk?

BHSI’s materials describe offerings that include commercial property and casualty, healthcare professional-liability, executive/professional lines, and transactional-liability, written through disciplined underwriting. BHSI has appointed leadership roles such as Senior Care Leader, Healthcare Professional Liability in the U.S., reflecting its specific focus on senior-care institutions within healthcare PL. Healthcare and casualty operations are supported by key claims executives, including Head of Global Claims, SVP Healthcare & Casualty Claims, Head of Claims North America, and Head of Specialty Programs Claims.

Senior-care ecosystems engage BHSI either directly or via MGAs and programs that use its capacity for PL/GL and excess structures.

Why Senior-Care Ecosystems Need BHSI

Senior-care ecosystems may rely on BHSI when:

  • They require high-quality healthcare-liability or excess capacity for multi-facility portfolios.
  • MGAs and specialty programs depend on BHSI’s capacity and claims expertise for senior-care books.
  • Complex senior-care claims demand coordinated, experienced global claims leadership.

That makes consistent, high-quality incident and clinical documentation vital for senior-care facilities in BHSI-backed programs.

Case Study: BHSI-Backed Senior-Care Liability Program

A national senior-care liability MGA runs a program for skilled-nursing and assisted-living facilities, with BHSI providing excess and selected primary layers. Over time, large claims—falls, pressure injuries, abuse allegations—from multiple states pierce program retentions. BHSI’s healthcare and specialty-programs claims leaders request:

  • Loss data segmented by state, facility type, and allegation category.
  • Clinical documentation, survey reports, and root-cause analyses for the largest losses.
  • Evidence of facility- and program-level QI initiatives responsive to systemic issues.

Participating facilities vary widely in their documentation practices.

Program administrators help operators implement Caring Data, standardizing incident, clinical, staffing, and QI data across the book. BHSI and the MGA use Caring Data-based analytics in program stewardship, reinsurance negotiations, and risk-management planning, gaining clearer visibility into risk drivers and improvements.

Testimonials

  • “Our BHSI stewardships went from being about anecdotes to being about hard data.”
  • “Caring Data helped us show that our Senior Care Leader’s recommendations were actually being implemented on the floor.”

Key Contact

Berkshire Hathaway Specialty Insurance (BHSI)

Role: global specialty insurer providing commercial property, casualty, healthcare professional-liability, and specialty-program capacity, including senior-care-focused solutions.

Website:
https://www.bhspecialty.com

Address (listing):
181 Bay Street, Suite 2500, Toronto, ON M5J 2T3 (U.S. operations commonly use Boston)

Phones (listing): 617-936-2900 (claims); +1-617-936-2906

Key claims contacts (listing):

– David Crowe – Head of Global Claims – david.crowe@bhspecialty.com

– Courtney Koch – SVP, Healthcare & Casualty Claims – courtney.koch@bhspecialty.com

– Rob Romeo – Head of Claims, North America – rob.romeo@bhspecialty.com

– George Marr – Head of Specialty Programs Claims – george.marr@bhspecialty.com

Final Thoughts

Senior-care ecosystems benefit when specialty carriers like BHSI support healthcare-liability and program structures with deep senior-care expertise and strong claims leadership. Caring Data supplies the standardized documentation that allows those structures to reflect real-world senior-care risk and improvement trajectories.

Mutual of Omaha – Long-Term-Care Insurance – National

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