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Claims Specialist

Claims Specialist

Marsh McLennanMidland, TX, US
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Claims Specialist

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 :

  • 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;

    • Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including : health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs.

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    Claim Specialist • Midland, TX, US