Claims Consultant

CLAIMS CONSULTANT

Our not-so-secret sauce.

Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. The industry’s brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Claims Consultant at MMA.

Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh McLennan (NYSE: MMC).

This position is hybrid from our Miami/Doral or Fort Lauderdale locations.

A day in the life:

Responsible for various aspects of property/casualty claims to include advocacy and support for clients. 

A Claims Consultant at Marsh McLennan Agency is responsible for various aspects of property/casualty claims to include advocacy and support for clients.  This is a a critical role in advocating for our clients, ensuring the smooth processing and resolution of insurance claims. This position requires a technical understanding of multiple lines of insurance coverage with the ability to review and analyze claims for a variety of clients. A Claims Consultant will interact with clients on a daily basis, addressing their service concerns and seeking resolution of their issues.  This role will also require the ability to anticipate potential problems and then proactively work to ensure a high level of client service is maintained.  Strong organizational skills and the ability to manage multiple assignments are essential for success in this role. A Claims Specialist will also provide administrative support to colleagues and assist in claim follow-up activities.

Essential Duties and Responsibilities

• Technical Knowledge: Demonstrate an intermediate understanding of multiple lines of insurance coverage, carrier systems technology, loss data terminology, and accessing information in carrier systems.   Apply this knowledge to accurately review and assess claims within industry best practices. 
• Advocate for Internal & External Clients: Serve as a primary point of contact for our Advocacy Team clients regarding their insurance claims. Provide exceptional customer service and ensure clients' needs are met throughout the advocacy process.
• Claim Review: Prepare summary materials from insurance carrier claim files in a clear and concise manner. Identify discrepancies or issues that may impact the claim resolution process.
• Claim Reporting: Assist in claim reporting functions, ensuring accuracy and completeness of information provided. Collaborate with clients and colleagues to gather necessary documentation and details for claim submissions.  Review for other potential reporting that may be needed. 
• Client Service Issue Resolution: Review and resolve client service issues promptly and effectively. Work closely with clients and insurance carriers to identify amicable solutions that meet the needs of all parties involved.  Assist in implementing these solutions.
• Escalation of Complex Claims Issues: Identify and escalate complex claims issues to Claims Director, Claims Executive and/or Senior Claims Specialist for further handling and resolution.
• Administrative Support: Assist Risk Services colleagues with general administrative tasks related to claims processing and follow-up. Collaborate with team members to ensure efficient claim handling and client satisfaction.
• Interpersonal and Communication Skills: Possess strong interpersonal skills to effectively communicate with clients, insurance carriers, and internal stakeholders. Always maintain professional and courteous communication.
• Computer Systems and Software Applications: Proficient in using computer systems such as ImageRight, Sagitta, Epic, and insurance carrier-related online platforms to help manage claims efficiently.
• Time Management:  Manage multiple assignments simultaneously, prioritize tasks, and meet deadlines. Work independently to arrive at resolution of client service issues.
• Compliance: Adhere to all regulatory requirements and company policies. Maintain confidentiality and handle sensitive information with discretion.

Our future colleague:

• 1-3 years of experience in a insurance claims
• Bachelor’s degree with a concentration in Risk Management or related field preferred.
• Maintain professional and technical competency by attending seminars, workshops, conducting research and focusing on continuing education.
• Excellent organizational skills to handle ongoing service concerns and manage multiple assignments.
• Strong interpersonal and communication skills, both written and verbal.
• Ability to work independently and collaborate effectively with team members.
• Detail-oriented with a high level of accuracy in work.
• Administrative experience a plus.

• Knowledge of principles of the insurance industry.
• Strong proficiency in Microsoft Word, Excel, Outlook and Teams
• Strong verbal and written communication skills
• Well organized, strong attention to detail, deadline oriented, strong sense of urgency and self-motivated.
• Adaptable to ever changing environment, ability to work under pressure in fast-paced environment, manage multiple projects, and meet deadlines.
• Ability to interact with various personality styles and manage requests from multiple sources.
• Ability to build and foster colleague relationships virtually

Licenses, Certifications, and/or Registrations

• 2-20 Property & Casualty license required or ability to obtain within 30 days of employment. 
• Insurance designation or currently working toward achieving – ARM, AIC, CIC, CPCU or CIC or ability to demonstrate equivalent knowledge.

Valuable benefits

We value and respect the impact our colleagues make every day both inside and outside of work. Our culture promotes colleague well-being through robust benefits programs and resources, professional and personal development opportunities, and fulfillment through meaningful work.

Some benefits included in this role are:

• Generous time off, including personal and volunteering
• Tuition reimbursement and professional development opportunities
• Hybrid work
• Charitable contribution match programs
• Stock purchase opportunities

To learn more about a career at MMA, check us out our website or flip through recruiting brochure.

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Who you are is who we are.

We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.

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

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