Claims Consultant

 

OVERVIEW

 

We are The MJ Companies—a firm dedicated to inspiring the success, fulfillment, and wellbeing of each person we serve. Our commitment to excellence and collaboration has enabled us to maintain a best-in-class approach to risk management, employee benefits, and total rewards.

 

ESSENTIAL FUNCTIONS/RESPONSIBILITIES

+ Assist client with claim reporting by establishing best practices, collecting relevant information, analyzing potential coverage, and submitting on their behalf.

+ Provide ongoing consultation and monitoring of open complex claims. Support and guide clients through the carrier claim process. Act as an advocate for the best and most expedient resolution of claims.

+ Analyze policy language to determine all appropriate avenues to seek coverage. Conduct in-depth review of all coverage positions, challenging when appropriate.

+ Conduct formal client onboarding to assist in the development of processes for internal claim administration, facilitate and participate in claim reviews to communicate disposition strategies and financial developments, and provide ongoing proactive solutions to meet clients needs.

 

TECHNICAL FUNCTIONS