Claims Examiner - Torrent
Location: Overland Park, Kansas, United States
Job ID R_053119-en Apply Save Job
Claims Examiner Torrent Technologies
Torrent Technologies, a Division of Marsh & McLennan Companies has a great opportunity to join our Claims team as a Claims Examiner. The Claims Examiner is responsible for independently collecting, accepting, and reviewing claim documents necessary under the SFIP and FEMA requirements in order to recommend coverage, and issue, partial and final flood claim payments. This role will update the system, track claim progress through to completion all flood claims. Approve documents, enters values, issues claim payments appropriate to SFIP Coverage. The Claims Examiner will manage, facilitate and action all subsequent movements or activities, including payment, denial or partial denials as appropriate, and reporting, through to completion of flood claims. Will also handle or assist the Claims team on more complex matters, acting as first-level technical referral contact.
Primarily responsible for Mobile Home, Swelling (including Condo Unit,) Small and large Commercial Claims, RCBAP up to Authority, and all levels of ICC
Reviews incoming Flood Claim documentation, makes coverage decisions based upon established processes, seeking guidance or advice when necessary
Determines whether and when Expert required; makes assignment to Expert; receives and reviews Expert Report (preparing and sending SALAE Requests, issuing Expert payments,) forwarding to IA Firm with Claim Advisor's recommendations, according to established processes
Makes coverage decisions based upon SFIP and FEMA language and rules. Prepares and sends Coverage or denial letters when justified
Reviews system work queues, promptly enters or updates data into system in compliance with established processes
Enters flood claim payments within authority, seeking appropriate approval for payments over-authority
Claim File Management
Adhere to FEMA regulatory, and Department Processes, to maintain file quality
Effectively communicate with policyholders, agents, IA Firm Staff (Not individual adjusters) and WYO staff on flood coverage questions to meet and exceed Claim File Standards and established SLA
Monitor documents within system work queues, working documents as needed and create follow up diaries as required by established processes
Manage and prioritize work, proactively handle, documents and tasks to meet SLAs, FEMA requirements and policy holder satisfaction
Technical Claims and Escalation Management
Manage flood claims up to and including complex or high value claims, providing seasoned review, and management, of all assigned claims
Takes ownership of personal development, maintaining and improving knowledge and skills
Judges escalated claims issues pertaining to established processes, provide resolution, or defer to others as appropriate; provide guidance while acting as technical claims, or processes, expert to staff
Liaison with BSA, IA Firm Staff (not adjusters) and FEMA on information requests, queries, acknowledgements or other issues
Research and draft well-reasoned responses to DOI, FEMA, or other formal appeal or complaint issues
Liaison with Claims Management for specific claims related issues or policyholder service issues
Proactively identify, then notify Claims Management, of potential problems, contentious claims or general flood claims trends
Assist in mentoring, training, and providing guidance to Junior Claims Examiners
At least 3 years' experience in P&C insurance
Attain ANFI certification within one (1) year of hire
Apply for and obtain FCN within two (2) years of hire
Knowledge and Skills:
Marsh is a global leader in insurance broking and risk management. In more than 130 countries, our experts in every facet of risk and across industries help clients to anticipate, quantify, and more fully understand the range of risks they face. We work with clients of all sizes to define, design, and deliver innovative solutions to better quantify and manage risk. 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. To every client interaction we bring an unmatched combination of deep intellectual capital, industry-specific expertise, global experience, and collaboration. Since 1871, clients have relied on Marsh for trusted advice, to represent their interests in the marketplace, make sense of an increasingly complex world, and help turn risks into new opportunities for growth. Our more than 30,000 colleagues work on behalf of our clients, who are enterprises of all sizes in every industry, and include individuals, multinational organizations, and government entities worldwide. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Visit www.marsh.com for more information and follow us on LinkedIn and Twitter @MarshGlobal
Marsh and its separately incorporated operating entities around the world are part of Marsh & McLennan Companies, a publicly held company (ticker symbol: MMC).
Marsh & McLennan Companies offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://www.mmc.com/. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. For more information, please visit us at: www.mmc.com/diversity.
Marsh & McLennan Companies and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
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Marsh & Mclennan Companies, Inc.