Claims Specialist

For this role, we are looking to hire a Sr. level specialist if the right candidate is found.

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 clients 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 clients 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 adjusters claim action plans; facilitate claims resolutions;
Evaluate insurance company claim reserves and push for reductions where appropriate;

REQUIREMENTS:

High School Diploma, Bachelors 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: (link removed)