Claims Service Administrator

Administrator - Claims Service

Company:

Marsh McLennan Agency

Description:

Marsh McLennan Global Services India Private Limited is seeking candidates for the following position based in the Mumbai office:

Analyst/ Specialist

What can you expect?

• Excellent exposure to claims handling and ability to directly influence client outcomes.

• Opportunity to enhance Claims knowledge and understanding & client management skills

• As a new colleague, you will be provided with Business Overview/Insights, in-depth process training, roles & responsibilities overview, expectations of various stakeholders to make you successful in this role.

• Within the first 30 days, we expect you to gain good understanding of the role and requirement that it entails. Within 60 days, attain competency & have a good understanding of process and systems & finally within 90 days be able to technically handle the claim with limited support.

What is in it for you?

• Solid platform to demonstrate your technical skills
• Build strong technical connects across our organization
• Enhance your skills via various development programmes offered in-house
• All benefits as per the location HR policy will be applicable

As a Marsh and McLennan Company colleague, you will also receive additional benefits such as:

• A competitive salary
• Employee friendly policies
• Health care and insurance for you and your dependants
• Healthy Work life balance
• A great working environment
• Flexible benefits packages to suit your needs and lifestyle

• Future career opportunities across a global organisation

Preview to our current base policies:

• Maternity benefits: Sum insured for normal delivery is INR 65,000 and C-section is INR 75,000.
• Mental health on IPD (up to full sum insured) and OPD (up to 40,000) to cover Psychiatric and related treatments
• Home care and treatment up to INR15,000 (COVID related) covered per member
• Hotel quarantine up to INR 50,000 (COVID related) covered per member
• Make shift or temporary hospital treatment up to INR15,000 (COVID related) covered per member
• Enhanced colleague experience through Benefitme portal (one stop self-service for enrollment & tracking of claims)

Voluntary top up:

• Sum Insured options:2 Lacs, 3 Lacs and 5 Lacs
• All benefits same as baseexcept for Mental illness on OPD basis
• Although completely voluntary, colleagues would be encouraged to enroll considering dependents age & pre-existing health conditions
• Corporate buffer would be made available on exception basis only, provided colleagues have taken a top up plan
• 6 months instalment option through payroll
• New Joiners would be able to opt for Top-up upon joining within a 30 day window

We will count on you to:

Client Service Management:

Client Communication

• Deliver timely and proactive updates to clients, insurers, and key stakeholders, ensuring they are informed at every stage of the claims process.
• Maintain clear, professional, and empathetic communication, fostering strong relationships and trust with clients/stakeholders throughout their claims journey.
• Initiate early contact with clients to gather essential information, set realistic expectations, and provide guidance on the claims process.

Claims Management

• Conduct thorough investigations, documentation, and assessments of all claims to ensure accurate evaluation and resolution, adhering to best practices.
• Establish alerts and reminders for key milestones in the claims process, proactively managing each claim to achieve the earliest possible settlement.
• Regularly monitor the status of claims, ensuring timely progression and resolution while addressing any potential delays.
• Collaborate effectively with insurers to expedite the settlement of claims, ensuring a smooth and efficient process for all parties involved.
• Provide additional support to clients through value-added activities, particularly when offers fall below their expectations, to enhance their overall experience.

Documentation and Compliance

• Ensure all repudiations are accurately referred, with appropriate challenges documented and all overturned repudiations recorded for future reference.
• Maintain detailed and accurate records of all claims, ensuring compliance with company policies and regulatory requirements, including adherence to the Marsh best practice guidelines.
• Regularly review documentation processes to identify areas for improvement and ensure the highest standards of compliance and efficiency are met.

Ideation

• Actively contribute to the ideation process by proposing innovative solutions and enhancements to existing claims processes and workflows, driving continuous improvement.
• Collaborate with cross-functional teams to implement new initiatives and best practices that streamline operations and elevate the client experience

• Compliance, Regulatory and Procedural Responsibilities

• Ensure that all statutory regulations and company procedures are followed to protect clients, colleagues and the business interest of the company
• Appropriate usage of Marsh Speciality's systems to monitor, record and retain information
• Demonstrate clear understanding of regulatory requirements
• Proactively ensures compliance with regulatory and risks framework
• Adheres to policies, guidelines and operating procedures
• Keeps own knowledge and expertise up to date and relevant
• Identifies and evaluates risks appropriately. Recognises how own actions impact on compliance

What you need to have:

• Understanding of Insurance Broking business of Marsh and terminologies
• Know-how of markets/legislations/regulators/procedures governing our business
• Technical aptitude, analytical skills and ability to acquire subject matter expertise on existing and new processes
• Upto date on recent developments and happenings impacting our business
• Extremely Good written and verbal communication skills
• Ability to prioritise and organise tasks, work within stiff timelines
• Ability to work independently and as part of the team
• Demonstrate confidence in talking to clients, stakeholders or colleagues both in spoken and written communication.
• Willing to go the extra mile in order to achieve the best possible outcome
• Positive attitude to change and willingness to embrace the advantages

Education: Graduate

Experience: 1-2.5 years of experience in the Insurance Claims Handling.

What makes you stand out?

• CII certification
• Post-Graduation/Certificate Courses in Insurance

Marsh Risk is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $24 billion and more than 90,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information about Marsh Risk, visit marsh.com, or follow us on LinkedIn and X.Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, caste, disability, ethnic origin, family duties, gender orientation or expression, gender reassignment, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law.Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.