Claims Representative

Marsh McLennan•Schaumburg, IL

1d•$37,600 - $70,200•Hybrid

About The Position

As our Claims Representative on the TPA Services team, you will support the coordination of communication among clients, claim examiners, insurance carriers and captive managers. You will respond promptly to inquiries from clients and internal teams, provide guidance on reporting guidelines and procedures, and overall provide support to the TPA Services team.

Requirements

Professional track record includes skills in processing and tracking claims by verifying information, helping clients by reporting claims per the client Special Handling Instructions, maintaining a high degree of data integrity in the system, and keeping communication clear and timely to avoid errors
Handling specialized tasks including completing escrow funding requests, overseeing Medicare reporting and NPDB reporting, managing daily credentialling and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices and making adjustments based on each client’s litigation guidelines and overall contributing to the development of internal claim procedures
Previous experience supporting Claims Examiners and internal teams in executing client strategies to deliver value and efficiency, while processing client-requested changes accurately and documenting them properly
Familiar with building strong client relationships through clear communication and insurance knowledge, collaborating with internal departments to ensure timely service, and managing workload effectively to meet client needs and service goals
Strong communication with Claims team members and provides timely and complete information to allow effective management of service execution

Nice To Haves

2+ years of experience in claims handling within an insurance agency, carrier, or TPA.
BA/BS degree in Business, Insurance, or a related field
Intermediate skill level in Microsoft Office Suite

Responsibilities

Processing and tracking claims by verifying information, helping clients by reporting claims per the client Special Handling Instructions, maintaining a high degree of data integrity in the system, and keeping communication clear and timely to avoid errors
Handling specialized tasks including completing escrow funding requests, overseeing Medicare reporting and NPDB reporting, managing daily credentialling and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices and making adjustments based on each client’s litigation guidelines and overall contributing to the development of internal claim procedures
Previous experience supporting Claims Examiners and internal teams in executing client strategies to deliver value and efficiency, while processing client-requested changes accurately and documenting them properly
Familiar with building strong client relationships through clear communication and insurance knowledge, collaborating with internal departments to ensure timely service, and managing workload effectively to meet client needs and service goals
Strong communication with Claims team members and provides timely and complete information to allow effective management of service execution

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
A company-wide mentality that you can never appreciate your co-workers too much
health and welfare benefits
tuition assistance
401K savings and other retirement programs
employee assistance programs