Clark Insurance

(Sr.) Claims Specialist

Dallas, TX, US

Onsite
Full-time
6 months ago
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Summary

Company: Marsh McLennan Agency Description: For this role, we are looking to hire a Sr. level specialist if the right candidate is found. SUMMARY: As a Claims Specialist 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: * High School Diploma, Bachelor's degree preferred; * 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; 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: http://marshmma.com/careers.

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