(Sr.) Claims Specialist
For this role, we are looking to hire a Sr. level specialist if the right candidate is found.
SUMMARY :
As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.
Duties include :
- You will submit claims or provide guidance on claim submission;
- Review coverages and resolve claims issues;
- Ensure carrier commitments are honored;
- Coordinate and participate in scheduled claims reviews;
- Serve as your client's advocate with adjusters and their coverage counsel;
- Resolve coverage disputes whenever possible;
- Assess and strategize to produce best possible claim outcomes;
Duties may also include :
- Review of client's overall claims program and individual complex claims situations;
- Develop strategic action plans to reach desired outcomes;
- Provide guidance regarding potential large settlements;
- Recommend suitable vendor partners, including claims TPAs, nurse triage, and others;
- Review adjuster's claim action plans; facilitate claims resolutions;
- Evaluate insurance company claim reserves and push for reductions where appropriate;
REQUIREMENTS :
- High School Diploma, Bachelor's degree preferred;
- Adjusters license;
- Knowledge of accepted industry standards and practices;
- Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges;
- Analytical skill necessary to make decisions and resolve issues inherent in handling of claims;
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients.
Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including : health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs.
For more information about our company, please visit us at : http : / / marshmma.com / careers .
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