Claims Specialist
4 months ago
Description:
SUMMARY:
As a Claims Specialist 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:
High School Diploma, Bachelor’s degree preferred; 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;-
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