Claims Quality Consultant

2 weeks ago

Dallas, United States Marsh & McLennan Companies Full time

Marsh's Advisory Claims Solutions group steps in to work with your team, enhancing specialization and increasing your capacity in a time of need. We proactively identify and advocate to improve claim outcomes, working closely with your business and insurers. We collaborate with you to develop strategies that reduce claims exposure and improve the cost of risk transfer. Our technical specialists have deep industry knowledge and can service a range of risks and claims complexities. Our end-to-end integrated approach across claim advocacy, preparation, and handling can help accelerate claims resolution. Marsh is seeking candidates for the following position to be based ideally in the Chicago office but are open to other locations on our hybrid model: Claims Quality Consultant What can you expect? * The Claims Quality Consultant, in partnership with the Claims Technical Leader, will work across the practice to assist in the design and administration of a technical claims quality solution focused on driving practice results and technical excellence. * As the CQC, you'll be responsible for the assessment of technical claim performance of team members based upon established best practices and will interpret the results/trends to deliver operational reporting and to lead collaborative discussions with team members/People Managers providing coaching, mentorship, and recommendations for participation in additional training. * You will also participate in the identification, design, and initiation of operational technical support tools including claim training, onboarding processes and other learning resources. * The right candidate for this role will bring a deep technical understanding of multiline claims handling experience, have a demonstrated ability to assess areas of opportunity in the strategic management of claims, ability to remain positive in the delivery of collegial quality assessment feedback, and be committed to supporting a culture of continuous learning. * Actively participate in the development of curriculum related to technical claim performance including a mechanism to measure the efficacy of the training. * Analyze and interpret practice performance and QA results to build upon in the development of ongoing skills training and continuing education. * Provide positive technical mentorship and coaching for team members beginning with the onboarding of new team members. What is in it for you? * A company with a strong brand, with experience developing solutions for todays and tomorrow's toughest challenges * A culture of internal mobility, diversity, inclusion, and collaboration * Employee Resource Groups which provide access to leaders, relevant volunteer and mentoring opportunities, and interactions with counterparts in industry groups and client organizations * Flexible work opportunities for work/life balance * Competitive pay and a full benefits package, starting Day 1 (Medical, Dental, Vision, Short- and Long-Term Disability and Life Insurance, Employee Stock Purchase program, and a generous paid time-off allowance); plus a fixed company contribution AND a company match on your 401k, after one year of service We will count on you to: * Drive claims technical excellence for the practice. * Execute an established quality assurance program which provides actionable feedback, supports consistency, and delivers the optimum outcomes on claims. * Assist the Claims Technical Leader (CTL) in defining performance standards and goals and ensure clear communication and understanding by team members. * In partnership with the CTL, review QA processes to identify efficiencies and advancing digital solutions such as the use of dashboards, AI, and automated QA/performance benchmarking. What you need to have: * 5+ years of experience and a bachelor's degree. * Ability to collaborate and influence team members by establishing an environment of trust and collaboration. * Deep knowledge of multiline claim technical handling and claim resolution strategies * Focus on driving high quality with an attention to detail in the delivery of strategic claim consultant solutions. * Works with a sense of urgency with ability to prioritize timely delivery of technical claim assessment results. What makes you stand out? * Strong written and verbal communication skills, with demonstrated ability to analyze assessment results to identify areas of additional training and development. * Strong delivery orientation with excellent organizational, interpersonal and communication skills. * Proven ability to flex own style to be both strategic and hands-on when required. Marsh is the world's leading insurance broker and risk adviser. With more than 45,000 colleagues operating in more than 130 countries, Marsh serves commercial and individual clients with data driven risk solutions and advisory services. Marsh is a business of Marsh McLennan (NYSE: MMC), the leading global professional services firm in the areas of risk, strategy and people. With annual revenue of over $20 billion, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses: Marsh, Guy Carpenter, Mercer, and Oliver Wyman. For more information, visit marshmclennan.com, follow us on LinkedIn and Twitter. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting TANA@mmc.com Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

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