Claims Examiner

About This Role

Caring for and resolving medical professional liability claims is the main purpose of this role. The Claims Examiner provides exceptional customer service and works with various stakeholders to ensure claims are managed and resolved accurately and on time.

Responsibilities

• Manage client claims through thorough investigation, interpretation of coverage, and strategic claim resolution
• Lead claim reviews and educate clients and teams on best practices
• Participate in client meetings, mediations, and settlement conferences to deliver tailored claims results
• Manage outside defense counsel
• Establish timely and accurate indemnity and expense reserves
• Follow client service workflows
• Utilize internal resources for enhanced efficiency
• Maintain accurate claim files
• Ensure data completeness by consistently meeting timelines and quality standards

Requirements

• Proficient in managing client claims through thorough investigation, interpretation of coverage, and strategic claim resolution
• Skilled in leading claim reviews and educating clients and teams on best practices, with a strong ability to participate in client meetings, mediations, and settlement conferences, to deliver tailored claims results
• Experienced in managing outside defense counsel, establishing timely and accurate indemnity and expense reserves, following client service workflows, utilizing internal resources for enhanced efficiency, maintaining accurate claim files, and ensuring data completeness by consistently meeting timelines and quality standards

Nice to have:

• 5+ years of experience in claims handling within an agency or insurance carrier
• BS/BA in Business, Insurance or related field
• NY Adjuster License
• AIC, SCLA or other related professional designation
• Advanced proficiency in Microsoft Office Suite

Benefits

• Medical, dental, vision, 401K benefits and more
• Flexibility to work at home or an office, based on your discretion and schedule
• Start with 20 days of paid time off
• 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
• Nitro cold brew coffee and sparkling water

About the Company

Marsh McLennan Agency 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.