Marsh & McLennan Companies
Claims Specialist
Marsh & McLennan Companies, Metairie, Louisiana, us, 70011
Company:
Marsh McLennan Agency
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. This position is client facing and requires single-day regional travel to our client locations.
Duties include: You will submit claims or provide guidance on claim submission; Compiles Risk Services Plans (RSPs); Monitors RSPs to ensure we are delivering all services as promised; Review coverages and resolve claims issues; Compiles & delivers Stewardship Reports to clients; Compiles e-mod forecasts & delivers e-mod analytical reports; Assists clients in finding solutions for problematic modifiers; Reports claims to insurance carriers, assisting in the communication between clients and adjusters; 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; On-site visit when a catastrophic loss occurs; Completes Open Claims Reviews 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;
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: http://marshmma.com/careers.
#MMASW
#LI-AK1
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. This position is client facing and requires single-day regional travel to our client locations.
Duties include: You will submit claims or provide guidance on claim submission; Compiles Risk Services Plans (RSPs); Monitors RSPs to ensure we are delivering all services as promised; Review coverages and resolve claims issues; Compiles & delivers Stewardship Reports to clients; Compiles e-mod forecasts & delivers e-mod analytical reports; Assists clients in finding solutions for problematic modifiers; Reports claims to insurance carriers, assisting in the communication between clients and adjusters; 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; On-site visit when a catastrophic loss occurs; Completes Open Claims Reviews 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;
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: http://marshmma.com/careers.
#MMASW
#LI-AK1