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Coding specialist • midland tx
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Claims Specialist
Marsh McLennanMidland, TX, USjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionReview 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; Monthly updating / reporting with Producers regarding claims on assigned accounts; 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;
Claims Specialist
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 :
- 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 :
Requirements :
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.