Specialist - Insurance Operations

Posted 2 Days Ago
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Cape Elizabeth, ME, USA
In-Office
Senior level
Fintech • HR Tech • Insurance • Consulting
The Role
Manage a portfolio of complex insurance claims from intake through settlement or closure. Responsibilities include reviewing coverage, collecting information, notifying insurers, updating claims systems, coordinating claim movements, preparing reports, advising clients, and maintaining relationships with insurers and service providers. The role also requires adherence to service standards and KPIs, strong communication, decision-making, 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
  • Minimum 5 years of work 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
  • Legal degree, diploma, or university degree, or equivalent experience
  • Insurance qualification
  • FAIS accreditation
  • RE examination, or willingness to obtain it
  • Proficiency in Microsoft Office tools, including Outlook, Word, and Excel

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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