Claims Specialist

3 weeks ago


Houston, United States Marsh McLennan Agency Full time

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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