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  • Posted: Jan 22, 2020
    Deadline: Not specified
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    Marsh is the worlds leading insurance broker and risk adviser. With over 35,000 colleagues operating in more than 130 countries, Marsh serves commercial and individual clients with data driven risk solutions and advisory services. Marsh is a business of Marsh & McLennan Companies (NYSE: MMC), the leading global professional services firm in the areas ...
    Read more about this company

     

    Claims Handler

    Claims Services - Consultant is able to independently service clients. Receives new claims from clients and/or colleagues to review, process, collect information and notify all appropriate insurers. Role identifies and validates coverage information; updates core claims applications and tracks the process through to completion of each claims movement or until finalization of the Marsh responsibilities agreed with the client. Role will manage, facilitate and action all subsequent movements or activities, including settlement or payment as appropriate and reporting, through to completion of the claim. Will also handle or assist others on more complex matters, acting as a technical referral point. Finally, role provides procedural advice to clients as necessary and manages a portfolio of complex liability or significant value claims, or client transactions.

    Responsibilities
    Claims Process

    • Review and understand incoming documentation seeking guidance or advice where necessary
    • Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required
    • Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards
    • Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages
    • Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution
    • Provide support for procedural guidance to clients and facilitate information requests between insurers and clients
    • Prepare settlement documentation and where appropriate facilitate collection of claims monies
    • Monitor incoming (& outstanding) funds from insurers, prepare payment requisitions where applicable to facilitate payment to client/beneficiary
    • Communicate with clients or beneficiaries to provide status updates, and follow-up with insurers or otherwise for outstanding receivables
    • Generate claims reports as required, validate, supplement and distribute as necessary
    • Attend meetings with clients, insurers or third parties as required
    • Interpreting clients business drivers and Marsh processes, consider and suggest improvement opportunities, initially via local Marsh management

    In accordance with the agreed upon Standard Operating Procedure and Marsh Professional Standards

    Claims Management Responsibilities

    • Adhere to compliance/regulatory requirements, or Marsh’s Professional standards to maintain quality & avoid potential Error & Omission (E&O) situations
    • Build and maintain effective relationships with clients, colleagues, third parties or insurers
    • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
    • Ensure all applicable claims applications, records and files are kept up to date at all times
    • Proactively handle tasks and activities to ensure adherence to local or client service standards, or Key Performance Indicators (KPI's)
    • Manage and prioritize workloads to meet deadlines, service standards or deliverables, escalate or seek assistance where necessary
    • Take ownership of your own personal development, maintaining and improving knowledge and skills
       

    In accordance with the agreed upon Standard Operating Procedure and Marsh Professional Standards

    Technical Claims and Escalation Management
     

    • Manage a portfolio of very complex liability or significant value claims, or client transactions.
    • Provide guidance to & manage multiple stakeholders in the management of complex liability claims
    • Demonstrate an escalated degree of control with regards’ to Operational Risk exposures for significant claims
    • Judge escalated issues pertaining to claims processing, provide resolution or defer to others as appropriate
    • Provide expertise or guidance acting as a referral point for technical and/or procedural queries
    • Demonstrate thorough understanding of Line of Business (LOB) placements, markets and internal/external procedures, including Third Party Administrators (TPA's)
    • Liaison with insurers on claims notifications, updates, information requests, queries, acknowledgements or other issues
    • Liaison with advocates and/or client executives for specific claim related issues, or client service concerns
    • Keep all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends
    • Provide assistance and/or guidance in resolving issues with non-paying insurers for outstanding settlements
    • Participate in internal and external audits as appropriate, where applicable, provide feedback & recommendations for improvements
    • Mentor, train or provide guidance to colleagues as required

    Education
    (degree / diploma)

    • At least Secondary or High School qualifications required
    • Diploma or university degree preferred (or equivalent experience)

    Experience

    • Minimum 3 years work experience
    • Minimum, of 3 years previous claims experience
    • Commercial claims Experience – Advantage

    Knowledge and skills (general and technical)

    • 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
    • Insurance/ claims handling knowledge
    • Relevant industry practice or Line of Business experience
    • Insurance market, clients and claims management skills related to area of expertise
    • Strong networking skills
    • Strong problem solving capabilities

    go to method of application »

    Claims Advisor

    Claims Process

    • Review and understand incoming documentation seeking guidance or advice where necessary
    • Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required
    • Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards
    • Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages
    • Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution
    • Provide support for procedural guidance to clients and facilitate information requests between insurers and clients
    • Prepare settlement documentation and where appropriate facilitate collection of claims monies
    • Monitor incoming (& outstanding) funds from insurers, prepare payment requisitions where applicable to facilitate payment to client/beneficiary
    • Communicate with clients or beneficiaries to provide status updates, and follow-up with insurers or otherwise for outstanding receivables
    • Generate claims reports as required, validate, supplement and distribute as necessary
    • Attend meetings with clients, insurers or third parties as required
    • Interpreting clients business drivers and Marsh processes, consider and suggest improvement opportunities, initially via local Marsh management

    In accordance with the agreed upon Standard Operating Procedure and Marsh Professional Standards

    Claims Management Responsibilities

    • Adhere to compliance/regulatory requirements, or Marsh’s Professional standards to maintain quality & avoid potential Error & Omission (E&O) situations
    • Build and maintain effective relationships with clients, colleagues, third parties or insurers
    • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
    • Ensure all applicable claims applications, records and files are kept up to date at all times
    • Proactively handle tasks and activities to ensure adherence to local or client service standards, or Key Performance Indicators (KPI's)
    • Manage and prioritize workloads to meet deadlines, service standards or deliverables, escalate or seek assistance where necessary
    • Take ownership of your own personal development, maintaining and improving knowledge and skills
       

    In accordance with the agreed upon Standard Operating Procedure and Marsh Professional Standards

    Technical Claims and Escalation Management

    • Manage a portfolio of very complex liability or significant value claims, or client transactions.
    • Provide guidance to & manage multiple stakeholders in the management of complex liability claims
    • Demonstrate an escalated degree of control with regards’ to Operational Risk exposures for significant claims
    • Judge escalated issues pertaining to claims processing, provide resolution or defer to others as appropriate
    • Provide expertise or guidance acting as a referral point for technical and/or procedural queries
    • Demonstrate thorough understanding of Line of Business (LOB) placements, markets and internal/external procedures, including Third Party Administrators (TPA's)
    • Liaison with insurers on claims notifications, updates, information requests, queries, acknowledgements or other issues
    • Liaison with advocates and/or client executives for specific claim related issues, or client service concerns
    • Keep all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends
    • Provide assistance and/or guidance in resolving issues with non-paying insurers for outstanding settlements
    • Participate in internal and external audits as appropriate, where applicable, provide feedback & recommendations for improvements
    • Mentor, train or provide guidance to colleagues as required
       

    REQUIREMENTS: EXPERIENCE AND QUALIFICATIONS

    Education
    (degree / diploma)

    • At least Secondary or High School qualifications required
    • Diploma or university degree preferred (or equivalent experience)

    Experience

    • Minimum 5 years work experience
    • Minimum, of 3 years previous claims experience – Advantage
    • LLB or equivalent. – Required.

    Knowledge and skills (general and technical)

    • 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
    • Insurance/ claims handling knowledge
    • Relevant industry practice or Line of Business experience
    • Insurance market, clients and claims management skills related to area of expertise
    • Strong networking skills
    • Strong problem solving capabilities
    • Other requirements (licenses, certifications, specialized training)
    • Marsh SA Relevant training as per the training programme

    Method of Application

    Use the link(s) below to apply on company website.

     

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