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. This position is client facing and requires single-day regional travel to our client locations.

Duties include:

You will submit claims or provide guidance on claim submission;Compiles Risk Services Plans (RSPs);Monitors RSPs to ensure we are delivering all services as promised;Review coverages and resolve claims issues;Compiles & delivers Stewardship Reports to clients;Compiles e-mod forecasts & delivers e-mod analytical reports;Assists clients in finding solutions for problematic modifiers;Reports claims to insurance carriers, assisting in the communication between clients and adjusters;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;On-site visit when a catastrophic loss occurs;Completes Open Claims ReviewsDevelop 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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