Analyst - Claims Advisory

Company:Mercer

Description:

We will count on you to:

• Reviews and understands incoming documentation and new claims notifications under the supervision of senior colleagues. Informs the team of any potential problems or contentious claims and seeks guidance when necessary to ensure proper claims processing.
• Identifies policies or coverage areas affected by incoming low-complexity claims from middle-market or low-complexity clients, seeks validation when needed, and requests clarification to ensure correct protocol is followed.
• Determines coverage for low-complexity claims of small to medium size and/or for small to medium-sized clients by applying policy knowledge and communicating with underwriters and insurers to assist clients in managing their claims, ensuring adherence to established standards.
• Escalates complex claims issues requiring technical expertise to senior colleagues and claims advocates to ensure correct application of claims policies and accurate claims rate calculations.
• Liaises with advocates and clients to address specific claims-related issues or client service concerns.
• Communicates with clients, beneficiaries, third parties, or insurers to obtain status updates, respond to information requests, and resolve queries.
• Generates, validates, and distributes claims reports to maintain accurate records.
• Facilitates collection from insurers on small claims and tracks payments for common claims settlements to keep orderly records of ongoing work.

Marsh Risk is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information about Marsh Risk, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to creating a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.

Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.