Senior Claim Operations

Company:

Marsh

Description:

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

In this role, you will provide support to Client Facing Brokers in all aspects of claim and administration: As first contact response of client and responsible for day-to-day operational claim service, for claim administration, claim inquiry, guarantee coverage & claim cases arise. Not forget to mention to have risk mitigation and claim overview to deliver accurate service. Liaising with insurer for Claim issue & inquiry, preparing regular report and all administrative of claims processes.

We will count on you to:

1. Claim Administration

• Manage Claim Operation to deliver accurate service post appointment

• Manage settlement of dispute transactional issues with clients & insurers

• Maintain provider facility to prevent suspension cashless facility

• Manage excess claim, reject claim, ASO fund and claim turnover though timely, correct and updated report by reconcile & record

2. Customer Relation Service Officer

• First contact response for day-to-day operational claim service, for claim administration, claim inquiry, guarantee coverage & claim cases arise

• Provider Claim Operational advocacy for claim status, benefit & term-condition & Policy applied

• Handling 24/7 call helpline and tracking resolution of reported issue

What you need to have:

• Minimum 5 years previous work experience,  third party administrator (TPA), insurance, or financial services experience is preferable

• Capability of customer handling both by phone and email

• Ability to interface with colleagues at all levels within the organization

• Clear and concise oral and written communication skills

• Detail oriented

• 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

What makes you stand out:

• Curiosity to learn

• Possess a positive attitude

• Adaptability to thrive in complex and matrix environments

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, a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Marsh McLennan is committed to creating 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, gender orientation or expression, 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 McLennan 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 McLennan 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.