**Claim Operation - Employee, Health & Benefit**
**What can you expect?**
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.
**What is in it for you?**
- Be part of a reputable and recognized brand in the insurance broking and risk management industry by working with and learning from industry leading experts in the field.
- Unprecedented opportunity to meaningfully impact our clients and make a difference.
- Access to organization that provide mentorship and development opportunities.
**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
- 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
Marsh is a global leader in insurance broking and risk management solutions, with more than 35,000 colleagues working together to serve our clients in more than 130 countries. We enable clients to grow, innovate and create value by helping them understand and better manage the risks they face, turning uncertainty into opportunity. We offer risk management, risk consulting, insurance broking, alternative risk financing, and insurance program management services to businesses, government entities, organizations, and individuals around the world. At Marsh, we believe that diversity and inclusion are vital components of our future and our goal is to leverage the unique skillsets that each person brings to the company. We provide our colleagues with a supportive, collaborative environment that leads to innovative ideas and the ability to make an impact.
Marsh is a wholly owned subsidiary of Marsh & McLennan Companies (MMC) that brings together nearly 75,000 experts in risk, strategy, and people across Marsh, Guy Carpenter, Mercer, and Oliver Wyman. Together, we combine a unique range of capabilities to help our clients solve problems, seize opportunities, and build lasting success in increasingly complex operating environments.