Claims Examiner

Posted 6 Days Ago
Be an Early Applicant
Martindale, TX, USA
In-Office
55K-102K Annually
Mid level
Fintech • HR Tech • Insurance • Consulting
The Role
Manage and resolve medical professional liability claims through investigation, coverage interpretation, reserve setting, counsel management, and client communication. Lead claim reviews, participate in mediations and settlement conferences, maintain accurate claim files, meet timelines and quality standards, and use internal resources to improve efficiency.
Summary Generated by Built In
Company:Marsh McLennan Agency

Description:

About Marsh McLennan Agency Midwest 
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.

A day in the life.
As a Claims Examiner, you will be responsible for managing and resolving medical professional liability claims, providing exceptional customer service, and collaborating with various stakeholders to ensure timely and accurate claims management and resolution.

Our future colleague.
We’d love to meet you if your professional track record includes these skills:

  • Proficient in managing client claims through thorough investigation, interpretation of coverage, and strategic claim resolution
  • Skilled in leading claim reviews and educating clients and teams on best practices, with a strong ability to participate in client meetings, mediations, and settlement conferences, to deliver tailored claims results
  • Experienced in managing outside defense counsel, establishing timely and accurate indemnity and expense reserves, following client service workflows, utilizing internal resources for enhanced efficiency, maintaining accurate claim files, and ensuring data completeness by consistently meeting timelines and quality standards

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

  • 5+ years of experience in claims handling within an agency or insurance carrier
  • BS/BA in Business, Insurance or related field
  • NY Adjuster License
  • AIC, SCLA or other related professional designation
  • Advanced proficiency in Microsoft Office Suite

We know there are excellent candidates who might not check all of these boxes. Don’t be shy. If you’re close, we’d be very interested in meeting you.

A Great Place to Work. A Great Place to Perk.

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:

  • Medical, dental, vision, 401K benefits and more
  • The flexibility to work at home or an office, based on your discretion and schedule
  • Start with 20 days of paid time off
  • A paid day off to volunteer and company-organized volunteer events
  • Up to $1,000 per year in matching charitable donations
  • Up to $750 per year in wellness rewards
  • All the nitro cold brew coffee and sparkling water you can drink
  • A company-wide mentality that you can never appreciate your co-workers too much

Who You Are is Who We Are

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.

To learn more about a career at MMA, check us out online: http://marshmma.com/careers or flip through our recruiting brochure: https://www.flipsnack.com/BB9CD8DD75E/limitless-opportunities

Follow us on social media to meet our colleagues and see what makes us tick:

  • https://www.instagram.com/lifeatmma_midwest/
  • https://www.facebook.com/MMAMidwest
  • https://x.com/MarshMMAMidwest
  • https://www.linkedin.com/company/marsh-mclennan-agency 

#MMAMW

#LI-Hybrid

The applicable base salary range for this role is $54,700 to $101,900.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Skills Required

  • Manage and resolve medical professional liability claims through investigation and coverage interpretation
  • Lead claim reviews and educate clients and teams on best practices
  • Participate in client meetings, mediations, and settlement conferences
  • Manage outside defense counsel and establish timely indemnity and expense reserves
  • Follow client service workflows, maintain accurate claim files, and ensure data completeness
  • Consistently meet timelines and quality standards for claims handling
  • 5+ years of claims handling experience within an agency or carrier
  • BS/BA in Business, Insurance, or related field
  • NY Adjuster License
  • AIC, SCLA, or other related professional designation
  • Advanced proficiency in Microsoft Office Suite

Marsh McLennan Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Marsh McLennan and has not been reviewed or approved by Marsh McLennan.

  • Leave & Time Off Breadth Leave offerings are described as generous, including sizable PTO, paid holidays, paid sick days, and additional time off such as paid volunteer time and “Summer days.” These time-off benefits are portrayed as a standout part of the overall rewards package.
  • Healthcare Strength Healthcare coverage is characterized as comprehensive, spanning medical, dental, and vision options, with additional supports like disability and life insurance and access to mental health resources and an EAP. The breadth of plan options is positioned as a core strength of the benefits package.
  • Retirement Support Retirement benefits are framed as solid, with 401(k) programs and employer matching frequently highlighted alongside other financial programs. Stock purchase options are also referenced as an additional wealth-building component of the total rewards mix.

Marsh McLennan Insights

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The Company
HQ: New York, NY
78,000 Employees
Year Founded: 1871

What We Do

Marsh McLennan (NYSE: MMC) brings together nearly 78,000 experts in risk, strategy, and people across Marsh, Guy Carpenter, Mercer, and Oliver Wyman, serving clients in over 130 countries. Marsh enables enterprise worldwide by helping clients manage risks, transforming uncertainty into opportunity. Guy Carpenter helps clients grow profitably with reinsurance broking expertise, advisory services, and advanced analytics. Mercer helps organizations advance the health, wealth, and careers of their most vital asset — their people. Oliver Wyman’s expertise in strategy, operations, risk, and organization transformation changes what is possible for our clients, their industries, and society. Together, we combine a unique range of capabilities to help our clients solve problems, seize opportunities, and build lasting success in increasingly complex operating environments.

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