Claims Consultant – Claims

Marsh•Sioux Falls, SD

4d•Hybrid

About The Position

Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As our Claims Consultant on the Claims team, you’ll serve as a claims advocate for clients by taking claim calls, completing site visits as needed for severe losses, and promptly submitting claims to the carrier. Additionally, you’ll review and analyze policies to make sure all applicable coverage is triggered in the event of a loss, and use strong judgment to analyze, prioritize, and interpret information with minimal guidelines. Alongside, managing claims through resolution while communicating clearly with clients and internal team members on claim status, issues, and next steps. You’ll also provide expert workers’ compensation guidance by applying in-depth knowledge of workers’ compensation laws, regulations, and industry practices. Finally, you will build strong carrier relationships with adjusters and other claims team members, communicate effectively as issues arise, and work toward efficient resolution that supports client needs and carrier objectives. Serve as a claims “go-to” resource in the marketplace by being active within the agency and the community, sharing claims knowledge, and reinforcing how claims outcomes impact a broader risk management program. Provide coverage and claims strategy advice to clients and internal team members. Continue building expertise through ongoing education to stay ahead of trends in coverage issues and claims technical skills. Educate clients and colleagues through intentional training, education platforms, and claims case studies. Monitor trends in claims activity and proactively communicate patterns, emerging coverage concerns, and any carrier-related issues to agency teams to drive awareness and action. Remit claims-related data (loss statistics, key trends, and cost-reduction opportunities) to support action plans that help manage a client’s total cost of risk. Provide recommendations to internal marketing, sales, and service teams regarding trending coverage issues to help mitigate risk and strengthen clients’ understanding of available coverage within their risk management portfolio. Support agency and departmental goals related to retention, upsell, and new sales. Identify opportunities to improve efficiency and effectiveness within the department and agency. Demonstrate the agency’s Code of Conduct and contribute to a strong work environment and culture.

Requirements

A strong understanding of workers' compensation laws and regulations
Property & Casualty license
5+ years of experience working in claims, customer service, underwriting, commercial lines insurance for a carrier or broker preferred
Good interpersonal skills and a high sense of urgency
Must have the ability to work under pressure and multi-task
Ability to work well in a fast-paced team environment and communicate effectively

Nice To Haves

Bachelor’s degree in business, finance, human resources, communication, or a related field
CRM, CIC, CPCU or other applicable designation required within 3 years of hire
CWCP designation

Responsibilities

Serve as a claims advocate for clients by taking claim calls, completing site visits as needed for severe losses, and promptly submitting claims to the carrier.
Review and analyze policies to make sure all applicable coverage is triggered in the event of a loss.
Use strong judgment to analyze, prioritize, and interpret information with minimal guidelines.
Manage claims through resolution while communicating clearly with clients and internal team members on claim status, issues, and next steps.
Provide expert workers’ compensation guidance by applying in-depth knowledge of workers’ compensation laws, regulations, and industry practices.
Build strong carrier relationships with adjusters and other claims team members, communicate effectively as issues arise, and work toward efficient resolution that supports client needs and carrier objectives.
Serve as a claims “go-to” resource in the marketplace by being active within the agency and the community, sharing claims knowledge, and reinforcing how claims outcomes impact a broader risk management program.
Provide coverage and claims strategy advice to clients and internal team members.
Continue building expertise through ongoing education to stay ahead of trends in coverage issues and claims technical skills.
Educate clients and colleagues through intentional training, education platforms, and claims case studies.
Monitor trends in claims activity and proactively communicate patterns, emerging coverage concerns, and any carrier-related issues to agency teams to drive awareness and action.
Remit claims-related data (loss statistics, key trends, and cost-reduction opportunities) to support action plans that help manage a client’s total cost of risk.
Provide recommendations to internal marketing, sales, and service teams regarding trending coverage issues to help mitigate risk and strengthen clients’ understanding of available coverage within their risk management portfolio.
Support agency and departmental goals related to retention, upsell, and new sales.
Identify opportunities to improve efficiency and effectiveness within the department and agency.
Demonstrate the agency’s Code of Conduct and contribute to a strong work environment and culture.