Specialist - Claims Advisory

Posted Yesterday
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Hiring Remotely in East, BFA
Remote
Senior level
Fintech • HR Tech • Insurance • Consulting
The Role
The role involves guiding complex claims processing, maintaining client relations, training colleagues, and ensuring compliance with claims protocols for large clients.
Summary Generated by Built In
Company:Marsh Risk

Description:

We are seeking a talented individual to join our Claims Operation team. This role will be based in Taiwan .

We will count on you to:

  • Provides guidance and reviews (complex) escalated claims in order to determine coverage and what policies will be impacted by a claim and provides resolution where possible, otherwise refers claim to Claims Advocate to ensure the proper processing of claims.
  • Reviews incoming documentation and new claims notifications of a complex nature or for large and/or complex clients, informs all relevant parties of any potential problems or contentious claims, and refers to Claims Advocates as needed in order to ensure the proper protocol is followed.
  • Maintains regular contact with a portfolio of complex and/or large clients to build trust, internal expertise and ensure departmental accountability.
  • Liaises with clients for claim-related issues or client service concerns to resolve complex issues with insurers on claims notifications, updates, information requests, queries, acknowledgements or other issues, keeping all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends.
  • Participates in internal and external audits as appropriate, where applicable, provides feedback & recommendations for improvements to help the department improve its operations, particularly in geographies with a variety of large and complex clients.
  • Mentors, trains and provides guidance to colleagues as required to improve the knowledge base of the department.
  • Provides guidance in resolving issues with non-paying insurers for outstanding settlements to retain relationships and expected outcomes for those filing for claims.

What you need to have:

  • Bachelor degree or above
  • 8+ years insurance experience in claims handling or related experience,
  • General understanding of policy conditions and terms
  • Excellent organization skills - able to prioritize work and meet deadlines
  • Excellent interpersonal skills – able to work within a team and negotiate effectively
  • Fluent in Chinese and English

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being

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.

Skills Required

  • Bachelor degree or above
  • 8+ years insurance experience in claims handling or related experience
  • General understanding of policy conditions and terms
  • Excellent organization skills
  • Excellent interpersonal skills
  • Fluent in Chinese and English

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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