Claims Consultant - Business Insurance
About The Position
Marsh McLennan Agency’s Midwest Region is a full-service brokerage providing business insurance, employee benefits, private client insurance, and retirement services to businesses and individuals across the country. MMA Midwest is consistently recognized as a top workplace, attracting and retaining its insurance talent by rewarding expertise and investing in career development. Colleagues enjoy an award-winning culture that fosters a highly productive and results-driven working environment. As a Claims Consultant, you will be responsible for providing exceptional customer service and collaborating with various stakeholders to ensure timely and accurate claims processing.
Requirements
- Work exclusively on Work Comp claims, handling an expected caseload of 200 files across 16–20 states (mix of Med Only and Indemnity)
- Analyze compensability on new claims and review reserve changes from monthly loss-run uploads, including settlement evaluation reserves
- Drive claim strategy by pushing carrier adjusters for IMEs, surveillance, timely treatment, and by following up on doctor appointments to push for RTW/MMI
- Coordinate with adjusters, defense counsel, and clients to gather litigation information, build defenses, negotiate settlements and special handling instructions, and provide timely updates
- Maintain up-to-date, accurate diaries and detailed notes within the Trideo platform and participate in claim reviews and conference calls
- Provide critical investigation and loss-control support for the insured (e.g., coordinating testing, medical canvas) and review reserve requests for appropriateness, requesting reductions when necessary
Nice To Haves
- 5+ years of experience in claims handling within an agency or insurance carrier
- BS/BA in Business, Insurance or related field
- AIC, SCLA or other related professional designation
- Advanced proficiency in Microsoft Office Suite
Responsibilities
- Work exclusively on Work Comp claims, handling an expected caseload of 200 files across 16–20 states (mix of Med Only and Indemnity)
- Analyze compensability on new claims and review reserve changes from monthly loss-run uploads, including settlement evaluation reserves
- Drive claim strategy by pushing carrier adjusters for IMEs, surveillance, timely treatment, and by following up on doctor appointments to push for RTW/MMI
- Coordinate with adjusters, defense counsel, and clients to gather litigation information, build defenses, negotiate settlements and special handling instructions, and provide timely updates
- Maintain up-to-date, accurate diaries and detailed notes within the Trideo platform and participate in claim reviews and conference calls
- Provide critical investigation and loss-control support for the insured (e.g., coordinating testing, medical canvas) and review reserve requests for appropriateness, requesting reductions when necessary
Benefits
- Medical, dental, vision, 401K benefits and more
- The flexibility to work at home or an office, based on your discretion and schedule
- Start with 20 days of paid time off
- A paid day off to volunteer and company-organized volunteer events
- Up to $1,000 per year in matching charitable donations
- Up to $750 per year in wellness rewards
- All the nitro cold brew coffee and sparkling water you can drink
- health and welfare benefits
- tuition assistance
- 401K savings and other retirement programs
- employee assistance programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
