Claims Specialist

1 week ago


New Orleans, Louisiana, United States Marsh McLennan Agency Full time

Claims Specialist

SUMMARY:

As a Claims Specialist for the Marsh McLennan Agency, you will be an expert claims consultant providing oversight and advocacy on behalf of Business Insureds 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

  • 5+ years of claims adjusting experience that includes commercial property adjusting. Appropriately licensed and/or certified in all states in which claims are being handled.
  • CAT and claims litigation experience a plus especially in the state of Louisiana
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.
  • 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.
  • Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.
  • Potential light business travel

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: .


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