Claims Advocacy Consultant - US Locations
Oliver Wyman, LLC
Insurance Claims Specialist
We are seeking a talented individual to join our team at Marsh. This role has the opportunity to be fully remote or based in any of our Southeast Zone locations (Miami, FL, Atlanta, GA; Greenville SC; Richmond VA; Washington D.C).
As a key contributor, you will focus on building strong customer relationships and maintaining retention by consulting with customers on products and services. Collaborate with both internal and external business contacts to resolve customer issues and enhance the overall customer experience and coverage offerings.
We will count on you to:
- Review daily reports to see if any claim should apply to Owner Controlled Insurance Program (OCIP)
- Review and log related automatic Central Reporting reports
- Create and maintain Email folder to file all incident related emails
- Create a folder in shared claims folders for each incident and maintaining information
- Assist in setting up claims for OCIP as needed
- Review and correct as necessary assigned projects and employers for claims in TPA RMIS
- Developing and maintaining process documents related to the claims handling
- Update OCIP incident log by project to include all types of incidents to ensure all OCIP are reported and handled properly
- Review incidents that are not in TPA RMIS to ensure loops are closed for Risk Involvement or that claims are reported and handled as appropriate
- Follow up with project and contractors to assist adjusters in obtaining necessary data for claim set up and management (back to work etc.)
- Summarize claims activity to Risk Management; Creating monthly reports
- Ensure the FELA process is followed (FELA experience a plus but not required)
- Enter daily funding into captive insurance company bank worksheet and preparing monthly funding requirement for review by Risk Management
- Consolidate captive and TPA accounts monthly
- Review TPA invoices for accuracy and provide to Risk Management
- Help coordinate severe incident defense response for OCIP claims
- Contract review work-related to OCIP projects
- Develop and maintain process documents related to the claims handling
What you need to have:
- Minimum 3-5 years of insurance claims experience in workers compensation and liability, ideally with experience in Owner Controlled Insurance Programs (OCIPs), Contractor Controlled Insurance Programs (CCIPs), construction insurance.
- Bachelor's degree in accounting, finance, economics, risk management or a related subject.
- Excellent communication, negotiation, and interpersonal skills.
What makes you stand out:
- Strong organizational, multitasking, relationship-building and problem solving skills.
- High integrity, teamwork focus, eagerness to learn, and experience in the construction, transportation or claims spaces.
Why join our team:
- We help you be your best through professional development opportunities, interesting work and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective.
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