Marsh & McLennan Claims Adjudicator in Urbandale, Iowa
Mercer is a global consulting leader in talent, health, retirement and investments. Mercer helps clients around the world advance the health, wealth and performance of their most vital asset – their people. Mercer's 20,000 employees are based in more than 40 countries. If you thrive on challenge, are passionate about ideas, love solving problems and truly enjoy connecting with people, we encourage you to explore the hundreds of job opportunities available through Mercer. Our core strengths place Mercer in a unique position to help our clients achieve the extraordinary - and extraordinary results require extraordinary people. Mercer is a wholly owned subsidiary of Marsh & McLennan Companies (NYSE: MMC), a global team of professional services companies offering clients advice and solutions in the areas of risk, strategy and human capital.
The purpose of this position is to process basic claims and correspond with insured and providers in a prompt, informative, and courteous way. The incumbent in this role also interacts with other departments in order to obtain information needed to process claims. The position works within established procedures applying basic understanding of a body of knowledge.
Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
Makes appropriate system entries and verifies accuracy.
Ensures utilization of most up to date processes and procedures to update claims.
Identifies process improvements, offers solutions to claim problems, and communicates recommendations to management.
Manages tasks according to company guidelines.
Responds within company standards to inquiries by telephone and written communication.
Works with colleagues across the organization to research inquiries in a prompt, courteous, and accurate manner.
High school diploma or equivalent required.
Claims processing and/or medical office experience preferred. No claims experience required.
Excellent written and verbal communication skills to effectively interact with customers on the telephone.
Excellent organizational and time-management skills to handle multiple tasks.
Detail oriented to ensure accuracy.
Analytical skills and the ability to make appropriate decisions independently.
Basic computer skills and the ability to navigate through multiple systems without assistance.
Proficient in Microsoft Office.
Appropriate license must be obtained if necessary for position.
Core competencies include:
Critical Thinking and Problem Solving
Communicating with Impact
May need New York Adjustor’s license (only need 3 licensed for state of New York)
Mercer delivers advice and technology-driven solutions that help organizations meet the health, wealth and career needs of a changing workforce. Mercer’s more than 22,000 employees are based in 43 countries and the firm operates in over 130 countries. Mercer is a wholly owned subsidiary of Marsh & McLennan Companies (NYSE: MMC), the leading global professional services firm in the areas of risk, strategy and people. With more than 60,000 colleagues and annual revenue over $13 billion, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment. Marsh & McLennan Companies is also the parent company of Marsh,which advises individual and commercial clients of all sizes on insurance broking and innovative risk management solutions; Guy Carpenter, which develops advanced risk, reinsurance and capital strategies that help clients grow profitably and pursue emerging opportunities; and Oliver Wyman, which serves as a critical strategic, economic and brand advisor to private sector and governmental clients. For more information, visit www.mercer.com. Follow Mercer on Twitter @Mercer.
Mercer LLC 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. 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.