Claims Representative

Posted 6 Days Ago
Be an Early Applicant
Martindale, TX, USA
In-Office
38K-70K Annually
Entry level
Fintech • HR Tech • Insurance • Consulting
The Role
Support TPA Services by coordinating communication among clients, claim examiners, carriers and captive managers; process and track claims; maintain data integrity; complete escrow funding requests; manage Medicare and NPDB reporting, credentialing, and loss runs; review defense counsel invoices per client guidelines; support claims examiners and build strong client relationships through clear communication and timely service.
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 our Claims Representative on the TPA Services team, you will support the coordination of communication among clients, claim examiners, insurance carriers and captive managers. You will respond promptly to inquiries from clients and internal teams, provide guidance on reporting  guidelines and procedures, and overall provide support to the TPA Services team.  

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

  • Processing and tracking claims by verifying information, helping clients by reporting claims per the client Special Handling Instructions, maintaining a high degree of data integrity in the system, and keeping communication clear and timely to avoid errors
  • Handling specialized tasks including completing escrow funding requests, overseeing Medicare reporting and NPDB reporting, managing daily credentialling and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices and making adjustments based on each client’s litigation guidelines and overall contributing to the development of internal claim procedures
  • Previous experience supporting Claims Examiners and internal teams in executing client strategies to deliver value and efficiency, while processing client-requested changes accurately and documenting them properly
  • Familiar with building strong client relationships through clear communication and insurance knowledge, collaborating with internal departments to ensure timely service, and managing workload effectively to meet client needs and service goals
  • Strong communication with Claims team members and provides timely and complete information to allow effective management of service execution

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

  • 2+ years of experience in claims handling within an insurance agency, carrier, or TPA.
  • BA/BS degree in Business, Insurance, or a related field
  • Intermediate skill level 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 $37,600 to $70,200.

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

  • Coordinate communication among clients, claim examiners, carriers and captive managers
  • Process and track claims, verify information, and maintain high data integrity
  • Follow client Special Handling Instructions and reporting procedures
  • Complete escrow funding requests and manage related documentation
  • Oversee Medicare reporting and NPDB reporting to ensure compliance
  • Manage daily credentialing and loss runs requests
  • Review defense counsel invoices and adjust per client litigation guidelines
  • Support Claims Examiners and internal teams in executing client strategies
  • Build and maintain strong client relationships through clear communication
  • 2+ years of claims handling experience in an agency, carrier, or TPA
  • BA/BS degree in Business, Insurance, or related field
  • Intermediate skill level 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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