Claims Specialist
3 weeks ago
Claims Advocate
SUMMARY:
Tired of adjusting claims? As a Claims Advocate 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:
- 5 years related claims experience preferred in multiple lines of coverage
- 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
- Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation
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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