Administrator-Claims Service

The Claim Department handles all functions of a claim from receipt through completion for multiple lines of coverage. Incumbent processes life and accidental death and dismemberment claims. This includes verifying coverage, requesting and reviewing claims documents, responding to inquiries through verbal or written communication.

Job Responsibilities:

Daily verbal and written communication.

  • Respond to questions regarding status of claims, procedures, and benefits.
  • Send letters requesting necessary claim documents to process claim.
  • Request status of information by telephone or written communication.


Investigate and process Life and Accidental Death and Dismemberment Claims.
  • Request application to determine beneficiary and benefit amount.
  • Verify active coverage through the system.
  • Determine whether a contestable investigation is needed.
  • Review claim documents and process claim accordingly.
  • Utilize available materials to aid in decision making. ie: Moso
  • Forward to management any legal documents received for their review prior to processingie: power of attorney papers, divorce decrees, insurance commissioner complaints, etc.
  • Possibly stamp and handout team mail.


Documentation and completion of necessary forms.
  • Document claim file of telephone conversations regarding the specific claim.
  • Complete coverage verification forms when sending claims to carriers.


Maintain quantity and quality levels established by management.
  • Life and Accidental and Death information should be processed within 48 hours of the received date.

Qualifications
  • High school diploma.
  • Excellent communication skills.
  • Customer Service experience.
  • Ability to handle multiple tasks in a timely and accurate manner.
  • Analytical skills for problem solving.
  • Ability to make decisions independently.
  • Flexibility to handle new procedures and plan changes.
  • Approachable team player.
  • Interactive computer skills on internet and Microsoft application.


At Mercer, we make a difference in the lives of more than 110 million people every day by advancing their health, wealth, and careers. We're in the business of creating more secure and rewarding futures for our clients and their employees - whether we're designing affordable health plans, assuring income for retirement or aligning workers with workforce needs. Using analysis and insights as catalysts for change, we anticipate and understand the individual impact of business decisions, now and in the future. We see people's current and future needs through a lens of innovation, and our holistic view, specialized expertise, and deep analytical rigor underpin each and every idea and solution we offer. For more than 70 years, we've turned our insights into actions, enabling people around the globe to live, work, and retire well. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. At Mercer, we say we Make Tomorrow, Today. Visit www.mercer.com for more information and follow us on LinkedIn and Twitter @Mercer

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.

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 and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.


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