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Marsh McLennan Agency · 2 days ago

Claims Specialist

Midland, TX

Full-time

Onsite

Entry, Mid Level

Marsh McLennan Agency is seeking a Claims Specialist who will provide oversight and advocacy for clients during the claims process. The role involves submitting claims, resolving issues, and strategizing to achieve the best outcomes for claims.

Employee BenefitsHealth CareInsuranceRetirement

Growth Opportunities

Responsibilities

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

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

Qualification

Adjusters licenseClaims managementAnalytical skillsCritical thinkingNegotiation skillsEffective communication

Required

High School Diploma

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

Preferred

Bachelor's degree

Benefits

Health and welfare

Tuition assistance

401K

Employee assistance program

Career mobility

Employee network groups

Volunteer opportunities

Other programs

Company

Marsh McLennan Agency

Glassdoor4.4

Marsh McLennan is an insurance company that provides business insurance, employee benefits, and private client insurance solutions. It is a sub-organization of Marsh & McLennan.

Founded in 2003