Claims Representative

Claims Representative

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 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.

We'd love to meet you if your professional track record includes these skills :

• 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

These additional qualifications are a plus, but not required to apply :

Recognized for workplace culture by the likes of Fortune Magazine, The Chicago Tribune and more, our colleagues enjoy an environment that fosters creativity as well as individual and organizational growth. A small sampling of the benefits our colleagues enjoy include :

MMA Midwest has created an award-winning culture largely due to meeting our colleagues where they are, celebrating their differences and building an inclusive environment. We challenge ourselves to create a workplace where our colleagues feel not only welcomed, but feel they belong; where we not only embrace diverse perspectives and opinions but seek them out; and where we ask not how a colleague fits our culture, but what they add to it.

Marsh McLennan and its affiliates are EOE Minority / Female / Disability / Vet / Sexual Orientation / Gender Identity employers.