Job Details

Claims Advocate

SUMMARY:

Tired of adjusting claims? As a Claims Advocate for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim.

Duties include:

• You will submit claims or provide guidance on claim submission
• Review coverages and resolve claims issues
• Ensure carrier commitments are honored
• Coordinate and participate in scheduled claims reviews
• Serve as your client s advocate with adjusters and their coverage counsel
• Resolve coverage disputes whenever possible
• Assess and strategize to produce best possible claim outcomes

Duties may also include:

• Review of client s overall claims program and individual complex claims situations
• Develop strategic action plans to reach desired outcomes
• Provide guidance regarding potential large settlements
• Recommend suitable vendor partners, including claims TPAs, nurse triage, and others
• Review adjuster s claim action plans; facilitate claims resolutions
• Evaluate insurance company claim reserves and push for reductions where appropriate

REQUIREMENTS:

• 5 years related claims experience preferred in multiple lines of coverage
• Adjusters license
• Knowledge of accepted industry standards and practices
• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges
• Analytical skill necessary to make decisions and resolve issues inherent in handling of claims
• Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation

We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: