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Company:

Marsh

Description:

The Claims Advocate at Marsh will provide proactive Workers Compensation claims strategy advice to clients within the Casualty practice. Develop and maintain strategic market relationships. Chair meetings with the client, insurers and their advisors.Lead claims discussion in claims administrator renewal meetings and RFPs. Participate in the development of workers compensation related strategic business plans.Provides client training. Responsible for marketing advocacy services both internally and externally to generate business revenue. Close interaction with senior managers, individual Client Executives, Claims Advocacy and Casualty Advisor colleagues.

Responsibilities

  • Identify compensability issues
  • Discussion with clients on claim resolution and medical management strategies
  • Follow up with Experts, discuss claim and/or arrange meetings as required
  • Necessary attendance, input and guidance at client meetings
  • Disputed claims handling & specific advocacy for client on issues
  • Attendance at regularly scheduled formal claims review meetings between the client and insurers and/or appointed claims handlers/adjusters
  • Colleague technical training and ongoing technical support & guidance
  • Liaison with placement and/or internal colleagues on specific client issues
  • Analyse loss statistics, identify trends, claims cost reduction opportunities, prepare report & recommendations
  • Interpretation of claims data to facilitate action plans to manage client total cost of risk
  • Creation of claims literature and thought leadership material
  • Proactively handle tasks in line with specific client requirements, departmental procedures and scope of role / limits of authority
  • Operations & Strategic Management

  • Challenge existing practices and develop Innovative solutions. Seek input & feedback, listen & evaluate, exhibit flexibility determining solutions
  • Identify & facilitate implementation of improvements to practices or processes which improve the client value proposition and sales opportunity
  • Lead, manage and/or contribute to complex projects of significant scope and impact
  • Build and maintain strong working relationships, utilising effective communication, with colleagues, clients and other external parties
  • Build, maintain & demonstrate comprehensive knowledge & understanding of the Marsh organisation, strategies & client drivers/expectations
  • Monitor external environments for trends and best practices and implement appropriate action plans
  • Within limits of authority, use judgement and take personal responsibility for areas off financial impact
  • Lead and/or contribute to internal and external meetings and projects as required
  • Identify emerging risks, assess and capture within the departmental risk register and, escalate to senior management where appropriate
  • Attendance/participation in renewal strategy meetings (internal & external) and provision of claims feedback to assist in market placement and/or renewal
  • Insurer relationship management
  • Internal E&O mitigation and investigation
  • Liaison and input to Marsh senior client relationship, product or divisional leadership
  • Ensure all jurisdictional protocols or regulations are understood
  • Engagement in selling claims services to clients and articulating the value proposition
  • Analyse contracts to assist Client Executive in appropriate pricing of services
  • Creation of claims procedures or manuals, liaison with clients, carriers and experts as necessary
  • Set up of Claim Handling procedures
  • Negotiate reporting procedures and/or Service Level Agreements with Insurers/suppliers on behalf of Clients
  • Provide bespoke claims training and development resource to address client requirements
  • Advice & Guidance on the claims process
  • Ensure adherence to internal & client service standards, key performance indicators & business objectives, through effective management techniques
  • Proactively handle tasks in line with specific client requirements, departmental procedures and scope of role / limits of authority
  • Monitor service deliverables ensuring tasks completed within criteria agreed in client service agreements or internal guidelines
  • Instigate and oversee strategies to resolve business issues and achieve the best possible outcome for clients or Marsh
  • Qualifications

  • College or university degree required
  • Workers Compensation claims experience required
  • At least 3 years of Workers Compensation organizational support in the state of California and surrounding areas
  • Clear and concise oral and written communication skills
  • Strong numerical skills
  • Excellent organizational skills ? able to prioritize work and meet deadlines
  • Excellent interpersonal skills ? able to work within a team
  • Comfortable experience working with technology (solutions)
  • Proficient in Microsoft Office tools (or equivalent) ? Outlook, Word and Excel
  • Insurance/Claims handling knowledge
  • Relevant industry practice or Line of Business Experience
  • Insurance market, clients and claim management skills related to area of expertise
  • Strong networking skills
  • Strong problem solving capabilities
  • Ability to handle very complex and difficult negotiations and influence multiple stakeholders
  • Certification or licenses as required by jurisdiction
  • Marsh is a global leader in insurance broking and risk management. In more than 130 countries, our experts in every facet of risk and across industries help clients to anticipate, quantify, and more fully understand the range of risks they face. We work with clients of all sizes to define, design, and deliver innovative solutions to better quantify and manage risk. We offer risk management, risk consulting, insurance broking, alternative risk financing, and insurance program management services to businesses, government entities, organizations, and individuals around the world. To every client interaction we bring an unmatched combination of deep intellectual capital, industry-specific expertise, global experience, and collaboration. Since 1871, clients have relied on Marsh for trusted advice, to represent their interests in the marketplace, make sense of an increasingly complex world, and help turn risks into new opportunities for growth. Our more than 30,000 colleagues work on behalf of our clients, who are enterprises of all sizes in every industry, and include individuals, multinational organizations, and government entities worldwide. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Visit www.marsh.com for more information and follow us on LinkedIn and Twitter @MarshGlobal

    Marsh and its separately incorporated operating entities around the world are part of Marsh & McLennan Companies, a publicly held company (ticker symbol: MMC).

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

    Marsh & McLennan Companies and its Affiliates?are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

    Marsh & McLennan Companies and its Affiliatesare EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.


    Associated topics: attendant, community, community and social services, community service, fundraiser, fundraising, social, social service, social work, violence

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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