Claims Representative

About the role

MMA Midwest is a full-service brokerage offering business insurance, employee benefits, private client insurance, and retirement services. It is consistently recognized as a top workplace, known for its award-winning culture that supports career development and productivity.

Responsibilities

• Support the coordination of communication among clients, claim examiners, insurance carriers, and captive managers.
• Respond promptly to inquiries from clients and internal teams, provide guidance on reporting guidelines and procedures, and provide support to the TPA Services team.
• Handle specialized tasks including completing escrow funding requests, overseeing Medicare reporting and NPDB reporting, managing daily credentialling and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices, and making adjustments based on each client's litigation guidelines and overall contributing to the development of internal claim procedures.
• Support Claims Examiners and internal teams in executing client strategies to deliver value and efficiency, while processing client-requested changes accurately and documenting them properly.
• Build strong client relationships through clear communication and insurance knowledge, collaborate with internal departments to ensure timely service, and manage workload effectively to meet client needs and service goals.

Requirements

• 2+ years of experience in claims handling within an insurance agency, carrier, or TPA.
• A BA/BS degree in Business, Insurance, or a related field.
• Intermediate skill level in Microsoft Office Suite.

Qualifications

• Familiar with building strong client relationships through clear communication and insurance knowledge, collaborating with internal departments to ensure timely service, and managing workload effectively to meet client needs and service goals.
• Strong communication with Claims team members and provides timely and complete information to allow effective management of service execution.

Skills

• Processing and tracking claims by verifying information, helping clients by reporting claims per the client Special Handling Instructions, maintaining a high degree of data integrity in the system, and keeping communication clear and timely to avoid errors.
• Handling specialized tasks including completing escrow funding requests, overseeing Medicare reporting and NPDB reporting, managing daily credentialling and loss runs requests, ensuring compliance with reporting requirements, reviewing defense counsel invoices, and making adjustments based on each client’s litigation guidelines and overall contributing to the development of internal claim procedures.

Benefits

A day-to-day perk includes up to $1,000 per year in matching charitable donations, up to $750 per year in wellness rewards, and access to nitro cold brew coffee and sparkling water. Additional benefits include medical, dental, vision, 401K benefits, and flexible work arrangements. MMA Midwest is committed to creating an inclusive environment and offers a variety of resources to support employee well-being and career growth.

Pay

The applicable base salary range for this role is $37,600 to $70,200. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

Schedule

Colleagues enjoy a flexible schedule, allowing them to work from home or an office based on their discretion and schedule.

Marsh McLennan Agency Midwest

MMA Midwest is an equal opportunity employer. For more information about a career at MMA, visit http://marshmma.com/careers. Follow us on social media to learn more: Instagram, Facebook, Twitter, LinkedIn.