Senior Claims Consultant

Company:

Marsh

Description:

We are seeking a talented individual to join our Operations team at Marsh . This role will be based in Riyadh, hybrid and has a requirement of working at least three days a week in the office.

Senior Claims Consultant is a senior claims handler handling complex coverage scenarios. Receives new claims from clients and/or colleagues, reviews, processes, collects information and notifies all appropriate insurers. Role identifies and validates coverage information, updates core claims applications and tracks the process through to completion of each claims movement or until finalization of the Marsh responsibilities agreed with the client. Responsibilities also include managing, facilitating and actioning all subsequent movements or activities, including settlement or payment as appropriate and reporting, through to completion of the claim. Role will handle or assist others on more complex matters, acting as technical and procedural referral point including providing procedural advice or guidance to clients as necessary. Works independently in consistently managing a portfolio of very complex or significant value claims, or client transactions.

We will count on you to:

Claims Process

• Review and understand incoming documentation seeking guidance or advice where necessary

• Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required

• Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards

• Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages

• Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution

• Provide support for procedural guidance to clients and facilitate information requests between insurers and clients

• Prepare settlement documentation and where appropriate facilitate collection of claims monies

• Communicate with clients or beneficiaries to provide status updates, and follow-up with insurers or otherwise for outstanding receivables

• Generate claims reports as required, validate, supplement and distribute as necessary

• Attend meetings with clients, insurers, client managers or third parties as required

• Interpreting clients’ business drivers and Marsh processes, consider and suggest improvement opportunities, initially via local Marsh management

• Engage with Business and Placement brokers to identify and share potential improvement of coverage based on annual reviews of claims history related to certain line of business/clients

Claims Management

• Adhere to compliance/regulatory requirements, or Marsh’s Professional standards to maintain quality & avoid potential Error & Omission (E&O) situations

• Build and maintain effective relationships with clients, colleagues, third parties or insurers

• Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures

• Ensure all applicable claims applications, records and files are kept up to date at all times

• Proactively handle tasks and activities to ensure adherence to local or client service standards, or Key Performance Indicators (KPI's)

• Manage and prioritize workloads to meet deadlines, service standards or deliverables, escalate or seek assistance where necessary

• Take ownership of your own personal development, maintaining and improving knowledge and skills

Technical Claims and Escalation

• Judge escalated issues pertaining to claims processing, provide resolution or defer to others as appropriate

• Provide expertise or guidance acting as a referral point for technical and/or procedural queries

• Demonstrate thorough understanding of Line of Business (LOB) placements, markets and internal/external procedures, including Third party Administrators (TPA's)

• Liaison with insurers on claims notifications, updates, information requests, queries, acknowledgements or other issues

• Liaison with advocates and/or client executives for specific claim related issues, or client service concerns

• Keep all relevant parties informed, as appropriate, of any potential problems, contentious claims or general claims trends

• Provide assistance and/or guidance in resolving issues with non-paying insurers for outstanding settlements

• Participate in internal and external audits as appropriate, where applicable, provide feedback & recommendations for improvements

• Manage a portfolio of very complex or significant value claims, or client transactions.

• Provide guidance to & manage multiple stakeholders in the management of complex claims

• Demonstrate an escalated degree of control with regards’ to Operational Risk exposures for significant claims

• Mentor, train or provide guidance to colleagues as required

What you need to have:

• Diploma or university degree (or equivalent experience)

• Certified CII is preferred

• Minimum of 7-10 years’ previous insurance/loss adjusting or financial services experience

• Clear and concise oral and written communication skills

• Strong numerical skills

• Excellent organization skills – able to prioritize work and meet deadlines

• Excellent interpersonal skills – able to work within a team

• Comfortable and experience working with technology (solutions)

• Proficient in Microsoft Office tools (or equivalent) – Outlook, Word and Excel

• Insurance/ claims handling knowledge

• Relevant industry practice or Line of Business experience

• Insurance market, clients and claims management skills related to area of expertise

• Strong networking skills

• Strong problem-solving capabilities

• Ability to handle complex and difficult negotiations and influence stakeholders

• Ability to handle very complex and difficult negotiations and influence multiple stakeholders

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 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 $27 billion and more than 95,000 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, disability, ethnic origin, family duties, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, 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.