Medical Claims Consultant

4 days ago


Metairie LA, United States Marsh LLC Full time

As a Claims Specialist for Marsh McLennan Agency, you will provide oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.

Key Responsibilities:

  • Submit claims or provide guidance on claim submission
  • Review coverages and resolve claims issues
  • Coordinate and participate in scheduled claims reviews
  • Assess and strategize to produce best possible claim outcomes
  • Review client's overall claims program and individual complex claims situations
  • 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
  • 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

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.


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