Claims Specialist

Marsh McLennan•Midland, TX

14d

About The Position

SUMMARY: As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include: You will submit claims or provide guidance on claim submission; Review coverages and resolve claims issues; Ensure carrier commitments are honored; Coordinate and participate in scheduled claims reviews; Serve as your client’s advocate with adjusters and their coverage counsel; Resolve coverage disputes whenever possible; Assess and strategize to produce best possible claim outcomes; Duties may also include: Review of client’s overall claims program and individual complex claims situations; Develop strategic action plans to reach desired outcomes; Provide guidance regarding potential large settlements; Recommend suitable vendor partners, including claims TPAs, nurse triage, and others; Review adjuster’s claim action plans; facilitate claims resolutions; Evaluate insurance company claim reserves and push for reductions where appropriate; Monthly updating/reporting with Producers regarding claims on assigned accounts;

Requirements

High School Diploma, Bachelor’s degree preferred
Adjusters license
Knowledge of accepted industry standards and practices
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges
Analytical skill necessary to make decisions and resolve issues inherent in handling of claims

Responsibilities

Submit claims or provide guidance on claim submission
Review coverages and resolve claims issues
Ensure carrier commitments are honored
Coordinate and participate in scheduled claims reviews
Serve as your client’s advocate with adjusters and their coverage counsel
Resolve coverage disputes whenever possible
Assess and strategize to produce best possible claim outcomes
Review of client’s overall claims program and individual complex claims situations
Develop strategic action plans to reach desired outcomes
Provide guidance regarding potential large settlements
Recommend suitable vendor partners, including claims TPAs, nurse triage, and others
Review adjuster’s claim action plans
Facilitate claims resolutions
Evaluate insurance company claim reserves and push for reductions where appropriate
Monthly updating/reporting with Producers regarding claims on assigned accounts