Analyst - Claims Advisory
2 weeks ago
Reviews and understands incoming documentation and new claims notifications under supervision of more senior colleagues, informs colleagues of any potential problems or contentious claims, and seeks guidance or advice where necessary to ensure the proper processing of claims.
Identifies which policies or parts of the coverage that may be effected by incoming low complexity claims from middle-market and/or low complexity clients, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed.
Determines coverage for incoming claims of low complexity, of small-medium size, and/or for small-medium sized clients through use of their knowledge of the policies as well as communicating with Underwriters Insurers to help their clients manage their incoming claims and ensure that claim management processes adheres to established standards.
Escalates complex issues pertaining to claims complications and the necessity for technical knowledge to senior colleagues and to claims advocates in order to ensure proper application of pertinent claims policy and calculation of claims rates.
Liaises with advocates and/or clients to ensure the proper processing of specific claims-related issues, or client service concerns.
Communicates with clients, beneficiaries, third parties or insurers to receive status updates, common information requests, instructions or query resolution.
Generates, validates and distributes claims reports, to ensure accurate records are produced and distributed.
Facilitates collection from insurers on small claims and tracks the different parts of claims being paid for common claims settlements in order to keep orderly record of ongoing work.
Marsh, a business of Marsh McLennan (NYSE: MMC), is the world's top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit , or follow on LinkedIn and X.Marsh McLennan 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, civil partnership status, disability, ethnic origin, family duties, gender orientation or expression, gender reassignment, 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 an equal opportunities employer. We are committed to providing reasonable adjustments in accordance with applicable law to any candidate with a disability to allow them to fully participate in the recruitment process. If you have a disability that may require reasonable adjustments, please contact us at Marsh McLennan 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 McLennan 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.-
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