Claims Representative

Marsh McLennan • Schaumburg, IL

91d • $36,700 - $68,500 • Remote

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

• Previous experience supporting Claims Examiners and internal teams.
• Familiarity with building strong client relationships through clear communication and insurance knowledge.
• Ability to manage workload effectively to meet client needs and service goals.

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 credentialing and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices and making adjustments based on each client's litigation guidelines.
• Contributing to the development of internal claim procedures.
• 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.
• 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.
• Communicating with Claims team members and providing timely and complete information to allow effective management of service execution.

Benefits

• Medical, dental, vision, 401K benefits and more.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree