Claims Representative

7 days ago

Dublin, Ireland US012 Marsh & McLennan Agency LLC Full time

Description:

Marsh McLennan Agency’s Midwest Region is a full-service brokerage providing business insurance, employee benefits, private client insurance, and retirement services to businesses and individuals across the country. MMA Midwest is consistently recognized as a top workplace, attracting and retaining its insurance talent by rewarding expertise and investing in career development. Colleagues enjoy an award-winning culture that fosters a highly productive and results-driven working environment.

The Claim Representative plays a key role in supporting the TPA Services by assisting with the coordination of communication between clients, claim examiner, re-insurers and the captive. They timely respond to questions asked by clients and internal teams, advising clients on reporting techniques and procedures, and managing claims through conclusion. Additionally, the Claim Representative supports the team’s TPA Services through the resolution of claims.
 

Claims

Processes claim information from the client, makes appropriate policy verification and inputs claim information into the system Instructs insured on gathering proper claim information needed for claim reporting and inputs claims into the system Sets diaries to follow claim progress as needed, assigning to other team members appropriately Updates RMIS system claim notes, open/closure notices and monitors and maintains electronic filing systems Maintains a concern for timeliness and completeness when interacting with customers, agency teams and TPA staff to minimize potential for error and omission claims Communicates claims concerns, large claims or potential problems to appropriate Claims Representative or Claims Manager Completes Escrow funding requests, submits to reinsurer, ensuring funding is released so payments can be issued Oversees Medicare reporting and ensures any concerns are addressed Completes status reports on individual claims and prepares for presentation to client Assists in developing, training and updating of internal claim procedures, programs and processing Addresses and resolves client claim questions/problems Identifies PCEs (potentially compensable events) and escalates to Claims Examiner as appropriate Owns reporting compliance with state and other professional requirements Understands and follows TPA Services procedures

Execution of Client Service

Supports Claims Examiner and other internal department members to flawlessly execute MMA Midwest TPA Service’s strategy for each client, designed to create measurable value and efficiencies in their businesses Processes changes, as needed or requested by the client, checking for consistency and documenting in the appropriate system Builds personalized client relationships through demonstrated understanding of the service plan and multiple channels of communication such as phone, email and in-person meetings Leverages insurance knowledge and communication skills to explain coverage terms and claims strategy Works with internal departments to ensure cohesiveness and timeliness of service execution Manages time effectively to prioritize workload, client service requests and service parameters on business processes

Data and Process Integrity

Maintains accurate and complete claim data in RMIS systems including policy detail, activities, attachments or anything in regard to claims Consistently achieves data integrity and meets activity timeliness, quality metrics and goals Follows processes and procedures in servicing workflow, maintaining appropriate and clear documentation of client and vendor conversations, taking appropriate action and following up as requested Completion of monthly reports; to include Loss Runs, Aggregate Reports and any specific reports as requested by client or claim examiner Completed reconciliation of claims payments at frequency requested by auditors or clients Utilizes internal resources for identified processes to ensure efficiency and consistency in execution

Peer Relationships

Provides feedback and shares information at team meetings Participates in ongoing scheduled meetings with Claims Team to discuss accounts, renewals, service needs, service platform, etc. Develops successful and effective working relationships with Producers, Account Executives, Account Managers, service team members, managers, carriers and members of other departments Communicates effectively with Claims Team members and provides timely and complete information to allow them to effectively manage service execution

Required

Knowledge of software systems, to include Excel

Preferred

BS/BA in Business, Insurance or related field Intermediate skill level in Microsoft Office Suite Adjuster licensing

A Great Place to Work. A Great Place to Perk.

Recognized for workplace culture by the likes of Fortune Magazine, The Chicago Tribune and more, our colleagues enjoy an environment that fosters creativity as well as individual and organizational growth. A small sampling of the benefits our colleagues enjoy include:

Medical, dental, vision, 401K benefits and more

The flexibility to work at home or an office

A paid day off to volunteer and company-organized volunteer events

Up to $1,000 per year in matching charitable donations

Up to $750 per year in wellness rewards

A company-wide mentality that you can never appreciate your co-workers too much
 

WhoAre is WhoAre

MMA Midwest has created an award-winning culture largely due to meeting our colleagues where they are, celebrating their differences and building an inclusive environment. We challenge ourselves to create a workplace where our colleagues feel not only welcomed, but feel they belong; where we not only embrace diverse perspectives and opinions but seek them out; and where we ask not how a colleague fits our culture, but what they add to it.

#MMAMW

  • Claims Advocate

    7 months ago

    Dublin, Ireland Aon Full time

    Claims Advocate Are you an experienced Claims Handler? Have you got experience in dealing with multiple lines of insurance business and advocating on behalf of clients? Aon Ireland is inviting you to apply for the role of Claims Advocate! This is a hybrid role with the flexibility to work both virtually and from our Dublin office. Aon is in the...

  • Claims Handler

    3 months ago

    Dublin, Ireland Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • TPA Claims Handler

    3 months ago

    Dublin, Ireland Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Claims Consultant

    7 days ago

    Dublin, Ireland US012 Marsh & McLennan Agency LLC Full time

    Description: Marsh McLennan Agency’s Midwest Region is a full-service brokerage providing business insurance, employee benefits, private client insurance, and retirement services to businesses and individuals across the country. MMA Midwest is consistently recognized as a top workplace, attracting and retaining its insurance talent by rewarding...

  • Customer Service Representative

    6 months ago

    Dublin, Ireland Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

  • Senior Engineer

    6 months ago

    Dublin, Ireland SNC-Lavalin Full time

    Job Description AtkinsRéalis one of the world’s leading providers of engineering professional consulting and support services with offices across Ireland. We are seeking a Senior Engineer, with 7+ years’ experience in the water/wastewater sector to join the Employer’s Representative team within the Infrastructure Division. The candidate will...

  • Sales Representative

    5 months ago

    Dublin, Ireland Grafton Group plc Full time

    Sales Representative - Coolock, Dublin 17 Part of Grafton Group Plc, Chadwicks Group is the market leader in the builder’s merchanting industry in the Republic of Ireland. The core business is through the traditional Builders Merchants division. Main brands include Chadwicks, Cork Builders Providers, Davies & Telfords. In addition, and through organic...

  • Senior Associate, Insurance Defence

    6 months ago

    Dublin, Ireland Kennedys Full time

    Kennedys is looking to recruit a Senior Associate for our Dublin office to work in our busy insurance team. The insurance team defend claims against a broad range of professionals. In addition, we provide coverage advice to insurers, in both the London and Irish markets, and handle insurance disputes on their behalf. In this role you will contribute...

  • Policy Officer

    2 weeks ago

    Dublin, Ireland Ornua Foods Full time

      Ornua is an Irish dairy co-operative that markets and sells dairy products on behalf of its Members, Ireland’s dairy processors and, in turn, Irish dairy farmers. Ornua is Ireland’s largest exporter of Irish dairy products and has annualised sales of € billion. Headquartered in Dublin, Ornua has a strong global team of 2,900 employees, operating...

  • Healthcare Solicitor

    6 months ago

    Dublin, Ireland Lex Consultancy Full time

    It is always a pleasure recruiting for this outstanding legal firm. If you are a medical litigation/healthcare lawyer seeking to work on interesting cases please contact me today. The successful applicant will run their own busy caseload (subject to supervision) as well as assisting the Partner and greater team on more complex matters; Representing...

  • Social & Content Strategist

    6 months ago

    Dublin, Ireland Storyful Full time

    Job Description Storyful, a News Corp company, is a global leader in social media news and intelligence, specializing in contextualization and verification. Storyful is powered by a unique ability to gather and streamline data from all corners of an increasingly complex media landscape. We believe social media is the key to a deeper understanding of...

  • Associate Cost Manager

    1 month ago

    Dublin, Ireland ICDS Group Full time

    Associate Cost Manager(PQS) - Hybrid Working €100k + (Package and Benefits) Dublin City The Associate Cost Manager will play a pivotal role in leading and managing cost consultancy services across a variety of high-profile projects. This role involves providing strategic cost management advice, overseeing project financials, and ensuring the delivery of...

  • Contracts Administrator

    6 months ago

    Dublin, Ireland SNC-Lavalin Full time

    Job Description AtkinsRéalis one of the world’s leading providers of engineering professional consulting and support services with offices across Ireland. We are seeking a Contracts Administrator /Employers Representative , with 7+ years’ experience in the water/wastewater sector to join the Employer’s Representative team within the...

  • IT Manager

    4 days ago

    Dublin, Ireland Robert Half Ireland Full time

    We are currently supporting a well-established client in the insurance and financial services sector to recruit for the pivotal role of Head of IT. This position offers an exciting opportunity for an experienced IT leader to drive technological excellence within a growing organisation. Key Responsibilities:Oversee the IT department, ensuring it delivers...

  • Billing Manager

    2 weeks ago

    Dublin, Ireland St Vincents Private Hospital Full time

    Overall ResponsibilityTo ensure overall Finance team Hospital objectives are achieved.The Billing Manager will report to the Financial Accountant  Key Responsibilities        Take full ownership and supervisory responsibility for all staff within the billing team.        Assist in the setting of targets, aligned with Divisional and wider...

  • Field Service Technician

    6 months ago

    Dublin, Ireland ATS Automation Full time

    Job DescriptionOur After Sales & Service team in our UK division is currently looking for a bright, ambitious Field Service Representative - Controls Engineering who enjoys team work and on-going challenging projects.The Field Service Representative (Controls) will be responsible for design, development, troubleshooting, and documentation of complete control...

  • Field Service Technician

    6 months ago

    Dublin, Ireland ATS Automation Full time

    Job Description Our After Sales & Service team in our UK division is currently looking for a bright, ambitious Field Service Representative - Controls Engineering who enjoys team work and on-going challenging projects. The Field Service Representative (Controls) will be responsible for design, development, troubleshooting, and documentation of...

  • Senior Reinsurance Technician

    1 month ago

    Dublin, Ireland RSA Insurance Ireland Limited Full time

    Join RSA and make a difference every day.  Whether you are just beginning your career or looking to take the next progressive step in your journey, RSA Insurance is an organization where you can be yourself, learn and develop and a place where your ideas and contributions matter. With offices in Belfast, Galway, and Dublin , we have embraced hybrid...

  • Project Quantity Surveyor

    1 month ago

    Dublin, Ireland BAM Civil Full time

    Building a sustainable tomorrow We are looking for a Project Quantity Surveyor to join our team on a building project in Citywest, Your mission Advise on contractual matters - general and project level. Process contractual claims and all associated records. Look for opportunities to maximise revenue and reduce cost and identify and investigate losses. Assist...

  • Senior Investment Manager

    4 weeks ago

    Dublin, Ireland National Treasury Management Agency Full time

    Role Profile Job Title: Senior Investment Manager - Irish Portfolio Monitoring team Division: Ireland Strategic Investment Fund Reports to: Investment Director Job Family: Investment, Asset & Liability Management Career Stream: Professional Career Zone: Line Manager/ Professional **Closing date: 13th November 2024*** Summary of the Business The National...