Claims Consultant – Workers Compensation

Marsh McLennan•Alpharetta, GA

1d•Hybrid

About The Position

Marsh McLennan Agency (MMA) is seeking a Claims Consultant – Workers Compensation to join their team. MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions. This role requires the individual to be within driving distance of an MMA Southeast office and commute to the office a minimum of three days per week. The company boasts an award-winning, inclusive, Top Workplace culture driven by over 11,000 employees.

Requirements

Multi-line carrier or brokerage claims experience required.
Excellent written, oral and interpersonal communication skills.
Excellent analytical, project management and problem-solving skills.
An ability to influence and negotiate with all stakeholders to achieve desired outcomes.
Maintain a positive work atmosphere by acting and communicating in a manner that instills good working relationships with customers, clients, colleagues and management.
Well organized, self-motivated, willingness to learn, attention to detail.
Computer proficiency with system of records, web-based tools, and Microsoft Office Suite.
Established priorities and organizes time efficiently to ensure meeting or exceeding deadlines.
Property and Casualty Adjuster License or willingness to obtain within 90 days required.

Nice To Haves

Minimum 7+ years workers compensation claims experience preferred.
Bachelor’s degree or equivalent work experience in related field preferred.
Professional designations a plus.

Responsibilities

Utilize Origami to track and update claim acknowledgments and leverage EPIC to obtain copies of policies for assigned accounts.
Manage and handle claims of severe complexity, specifically lost time matters from intake through resolution.
Actively monitor and manage a minimum of 25 client accounts.
Proactively follow up on open Workers' Compensation claims to ensure timely progression toward resolution.
Negotiate with adjusters on behalf of clients to drive favorable claims outcomes.
Adopt a forward-looking coverage approach for assigned casualty claims by proactively identifying potential challenges and leveraging opportunities to enhance client results.
Prepare and organize materials for claim review meetings and stewardship meetings for assigned accounts.
Collaborate with the Claims Intake Team to support accurate and timely claim reporting, serving as a knowledgeable resource throughout the intake process.
Support return-to-work initiatives by coordinating with clients and carriers on the development and utilization of return-to-work panels.
Execute all other claims-related duties as assigned.
Be a trusted claims specialist in the marketplace; actively be present in the agency and the community with a focus on sharing claims knowledge and the impact of claims to a risk management program.
Continue to drive for further education and knowledge; stay ahead of trends within coverage issues and claims technical skills.
Provide coverage and claims strategy advice to clients and internal team members.
Educate team members and clients through intentional training and education platforms on claims, handling of claims and claims case studies.
Monitor trending within claims activity via Claims Insights.
Develop loss analysis reports including Claims Summaries and Loss Stratification documents.
Remit claims related data such as loss statistics, key trends, cost reduction opportunities and other data in order to assist development of action plans to manage client's total cost of risk.
Provide recommendations to the internal marketing, sales and service teams regarding trending coverage issues in a way to mitigate and further engage our clients in understanding the coverage available to enhance their risk management portfolio.
Build strong carrier relationships with adjusters and other claims team members in an effort to form a partnership that supports both client needs and carrier objectives.
Communicate effectively with carriers as issues arise and work toward resolving issues efficiently.