Insurance Claims Advisor Job: An insurance claims advisor reviews and processes insurance claims, determines the validity of claims based on policy terms, and communicates with policyholders to gather information. Key duties include evaluating damages, negotiating settlements, coordinating with other professionals, maintaining detailed records, and staying updated on relevant laws and regulations.
“About Company”
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.
Job’s Description:
As part of a permanent contract, you will hold the position of Claims Advisor within the Claims team attached to the Affinity and Special Risks Department.
You will be in charge of a multi-risk portfolio including “Cancellation, Rescue Expenses, Personal Accident”.
In this role, you will be responsible for the following tasks :
- Handling calls: reporting claims, monitoring files, answering questions related to contracts and claims management;
- Verification of the validity of the contract and the conformity of the risk: adequacy of the declared risk with its actual characteristics;
- Monitoring the progress of files and their proper maintenance (renaming documents, classifying elements, noting relevant comments…);
- Determination of the amount of compensation based on the general terms and conditions of the contract;
- Exchanges and explanations on the method of determining the compensation and/or benefits offered to beneficiaries;
- Detection of potential fraud.
Key responsibilities
- Process claims: Review insurance claims and determine coverage and validity based on the policy.
- Communicate with clients: Interact with policyholders and claimants to gather detailed information and answer questions about their claims.
- Investigate and verify: Coordinate with adjusters, investigators, and other professionals to verify claim details.
- Evaluate and assess: Assess the extent and value of damages covered by the insurance policy.
- Negotiate settlements: Negotiate settlements with claimants in line with company policies and legal requirements.
- Manage documentation: Keep detailed records of claims and submit reports to management.
- Stay informed: Remain updated on changes in laws, regulations, and company policies related to insurance claims.
Profile:
- You have significant experience in customer service or support
- You have training, knowledge or experience in insurance
- You have good interpersonal skills and a strong sense of customer service;
- You are proficient with computer tools.
Essential skills and qualifications
- Strong customer service and communication skills.
- Attention to detail and analytical skills to evaluate claims.
- Ability to interpret insurance policies and legal documents.
- Negotiation and problem-solving abilities.
- Proficiency in record-keeping and report preparation.
- Ability to manage conflicts and solve problems
- Rigor
- Sense of organization
- Attention to detail
- Proficiency in basic office software
Job Type: Insurance Claims Advisor
Location: Paris, France
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