Specialist - Insurance Operations

Posted 2 Days Ago
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Cape Elizabeth, ME, USA
In-Office
Senior level
Professional Services • Consulting
The Role
Manage complex insurance claims portfolios from intake through settlement or completion. Responsibilities include reviewing coverage, notifying insurers, collecting information, updating claims systems, providing procedural guidance, generating reports, coordinating with clients and third parties, and meeting service standards and KPIs. The role also requires strong client relationships, decision-making, communication, organization, numerical ability, and proficiency with Microsoft Office tools.
Summary Generated by Built In
Company:Marsh

Description:


Marsh South Africa is seeking candidates for a “Specialist - Insurance Operations (Claims Advisory)” based in the Port Elizabeth - Cape office:


What can you expect?


  • Maintain quality in all areas of client deliverables, including monitoring delivery and invoicing to ensure client is satisfied.
  • Take a pro-active approach to all aspects of account management and service delivery to clients, ensuring client needs are identified and met in line with agreed service standards; (Client First Principles)

We will count on you to:


  • Independently service clients and manage a portfolio of complex and significant claims and clients
  • Receive new claims from clients and/or colleagues - review, process, collect information and notify all appropriate insurers.
  • Identify and validate all potentail policies and coverage information; update core claims applications and track the process through to completion of each claim movement or until finalization of the Marsh responsibilities agreed with the client.
  • Manage, facilitate and action all subsequent movements or activities, including settlement or payment as appropriate and reporting, through to completion of the claim
  • Provide procedural claims guidance and advice to clients
  • Build and maintain effective relationships with clients, colleagues, service providers , third parties and insurers
  • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
  • Proactively handle ,manage and prioritize tasks and activities to ensure adherence to local ,client service standards ,deliverables and Key Performance Indicators (KPI's)
  • Build and maintain effective relationships with clients, colleagues, service providers , third parties and  insurers
  • Generate claims reports as required, validate, supplement and distribute as necessary
  • Attend meetings with clients, insurers or third parties as required

What you need to have:


  • Legal degree/Diploma or university degree (or equivalent experience) would be advantageous
  • Matric required
  • Insurance qualification preferable
  • FAIS Accreditation preferable
  • RE Examination preferable / to be obtained
  • Minimum 5 years’ work experience in the sector
  • Ability to manage complex claims
  • Self-insurance, aggregate and captive claims handling knowledge.
  • Excellent decision-making skills
  • Experience in a client-facing role

What makes you stand out


  • Great communicator, collaborator, influencer.
  • Continuous improvement approach
  • Think outside of the box and a can-do attitude
  • Clear and concise oral and written communication skills
  • Strong numerical skills
  • Excellent organization skills – able to prioritize work and meet deadlines
  • Excellent interpersonal skills – able to work within a team
  • Comfortable and experience working  with technology (solutions)
  • Proficient in Microsoft Office tools (or equivalent) – Outlook, Word and Excel
  • Strong problem solving capabilities

Marsh (NYSE: MRSH) is 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, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to embracing 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. We are also committed to providing reasonable support to any candidate with a disability to allow them to fully participate in the recruitment process. We welcome candidates to contact us at [email protected] to discuss any specific needs.

Skills Required

  • Matric qualification
  • Legal degree, diploma, university degree, or equivalent experience
  • Insurance qualification
  • FAIS Accreditation
  • RE Examination, or willingness to obtain it
  • Minimum 5 years of experience in the insurance sector
  • Ability to manage complex claims
  • Knowledge of self-insurance, aggregate, and captive claims handling
  • Experience in a client-facing role
  • Excellent decision-making, communication, organization, numerical, interpersonal, and problem-solving skills
  • Proficiency with Microsoft Office tools, including Outlook, Word, and Excel
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The Company
HQ: New York, New York
9,026 Employees

What We Do

Oliver Wyman is a global leader in management consulting. With offices in more than 70 cities across 30 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. The firm has more than 7,000 professionals around the world who work with clients to optimize their business, improve their operations and risk profile, and accelerate their organizational performance to seize the most attractive opportunities. Oliver Wyman is a business of Marsh McLennan [NYSE: MMC].

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