Claims Specialist

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:

• 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;