(Sr.) Claims Specialist at MMC

Posted in Other about 2 hours ago.

Location: Dallas, Texas





Job Description:

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 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;



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.


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