Claims Consultant - Workers Compensation
National African-American Insurance Association (NAAIA), Nashville, TN, United States
Applicants must be within driving distance to one of our MMA Southeast offices to be considered for this role and have the ability to commute to the office a minimum of three days per week.
As a
Claims Consultant – Workers Compensation , you will:
Claims Management
Utilize Origami to track and update claim acknowledgments and leverage EPIC to obtain copies of policies for assigned accounts.
Manage and handle claims of severe complexity, specifically lost time matters from intake through resolution.
Assigned a minimum of 25 client accounts to actively monitor and manage.
Proactively follow up on open Workers' Compensation claims to ensure timely progression toward resolution.
Negotiate with adjusters on behalf of clients to drive favorable claims outcomes.
Adopt a forward‑looking coverage approach for assigned casualty claims by proactively identifying potential challenges and leveraging opportunities to enhance client results.
Prepare and organize materials for claim review meetings and stewardship meetings for assigned accounts.
Collaborate with the Claims Intake Team to support accurate and timely claim reporting, serving as a knowledgeable resource throughout the intake process.
Support return‑to‑work initiatives by coordinating with clients and carriers on the development and utilization of return‑to‑work panels.
Execute all other claims‑related duties as assigned.
Claims Expertise
Be a trusted claims specialist in the marketplace; actively be present in the agency and the community with a focus on sharing claims knowledge and the impact of claims to a risk management program.
Continue to drive for further education and knowledge; stay ahead of trends within coverage issues and claims technical skills.
Provide coverage and claims strategy advice to clients and internal team members.
Educate team members and clients through intentional training and education platforms on claims, handling of claims and claims case studies.
Claims Trending & Analysis
Monitor trending within claims activity via Claims Insights.
Develop loss analysis reports including Claims Summaries and Loss Stratification documents.
Remit claims related data such as loss statistics, key trends, cost reduction opportunities and other data in order to assist development of action plans to manage client's total cost of risk.
Provide recommendations to the internal marketing, sales and service teams regarding trending coverage issues in a way to mitigate and further engage our clients in understanding the coverage available to enhance their risk management portfolio.
Carrier Relationships
Build strong carrier relationships with adjusters and other claims team members in an effort to form a partnership that supports both client needs and carrier objectives.
Communicate effectively with carriers as issues arise and work toward resolving issues efficiently.
Our Future Colleague
Minimum 7+ years workers compensation claims experience preferred.
Multi‑line carrier or brokerage claims experience required.
Bachelor's degree or equivalent work experience in related field preferred.
Professional designations a plus.
Excellent written, oral and interpersonal communication skills.
Excellent analytical, project management and problem‑solving skills.
An ability to influence and negotiate with all stakeholders to achieve desired outcomes.
Maintain a positive work atmosphere by acting and communicating in a manner that instills good working relationships with customers, clients, colleagues and management.
Well organized, self‑motivated, willingness to learn, attention to detail.
Computer proficiency with system of records, web‑based tools, and Microsoft Office Suite.
Established priorities and organizes time efficiently to ensure meeting or exceeding deadlines.
Property and Casualty Adjuster License or willingness to obtain within 90 days required.
A shared commitment to company values; Integrity, Collaboration, Passion, Innovation, Accountability.
Valuable Benefits
Medical, dental and vision insurance
401K and company match program
Company‑paid life and disability
Generous paid time off programs
Employee assistance program (EAP)
Volunteer paid time off (VTO)
Career mobility
Employee networking groups
Tuition reimbursement and professional development opportunities
Charitable contribution match programs
Stock purchase opportunities
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#J-18808-Ljbffr
As a
Claims Consultant – Workers Compensation , you will:
Claims Management
Utilize Origami to track and update claim acknowledgments and leverage EPIC to obtain copies of policies for assigned accounts.
Manage and handle claims of severe complexity, specifically lost time matters from intake through resolution.
Assigned a minimum of 25 client accounts to actively monitor and manage.
Proactively follow up on open Workers' Compensation claims to ensure timely progression toward resolution.
Negotiate with adjusters on behalf of clients to drive favorable claims outcomes.
Adopt a forward‑looking coverage approach for assigned casualty claims by proactively identifying potential challenges and leveraging opportunities to enhance client results.
Prepare and organize materials for claim review meetings and stewardship meetings for assigned accounts.
Collaborate with the Claims Intake Team to support accurate and timely claim reporting, serving as a knowledgeable resource throughout the intake process.
Support return‑to‑work initiatives by coordinating with clients and carriers on the development and utilization of return‑to‑work panels.
Execute all other claims‑related duties as assigned.
Claims Expertise
Be a trusted claims specialist in the marketplace; actively be present in the agency and the community with a focus on sharing claims knowledge and the impact of claims to a risk management program.
Continue to drive for further education and knowledge; stay ahead of trends within coverage issues and claims technical skills.
Provide coverage and claims strategy advice to clients and internal team members.
Educate team members and clients through intentional training and education platforms on claims, handling of claims and claims case studies.
Claims Trending & Analysis
Monitor trending within claims activity via Claims Insights.
Develop loss analysis reports including Claims Summaries and Loss Stratification documents.
Remit claims related data such as loss statistics, key trends, cost reduction opportunities and other data in order to assist development of action plans to manage client's total cost of risk.
Provide recommendations to the internal marketing, sales and service teams regarding trending coverage issues in a way to mitigate and further engage our clients in understanding the coverage available to enhance their risk management portfolio.
Carrier Relationships
Build strong carrier relationships with adjusters and other claims team members in an effort to form a partnership that supports both client needs and carrier objectives.
Communicate effectively with carriers as issues arise and work toward resolving issues efficiently.
Our Future Colleague
Minimum 7+ years workers compensation claims experience preferred.
Multi‑line carrier or brokerage claims experience required.
Bachelor's degree or equivalent work experience in related field preferred.
Professional designations a plus.
Excellent written, oral and interpersonal communication skills.
Excellent analytical, project management and problem‑solving skills.
An ability to influence and negotiate with all stakeholders to achieve desired outcomes.
Maintain a positive work atmosphere by acting and communicating in a manner that instills good working relationships with customers, clients, colleagues and management.
Well organized, self‑motivated, willingness to learn, attention to detail.
Computer proficiency with system of records, web‑based tools, and Microsoft Office Suite.
Established priorities and organizes time efficiently to ensure meeting or exceeding deadlines.
Property and Casualty Adjuster License or willingness to obtain within 90 days required.
A shared commitment to company values; Integrity, Collaboration, Passion, Innovation, Accountability.
Valuable Benefits
Medical, dental and vision insurance
401K and company match program
Company‑paid life and disability
Generous paid time off programs
Employee assistance program (EAP)
Volunteer paid time off (VTO)
Career mobility
Employee networking groups
Tuition reimbursement and professional development opportunities
Charitable contribution match programs
Stock purchase opportunities
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#J-18808-Ljbffr