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Senior Claims Advisor

3 weeks ago

Auckland City, New Zealand Marsh Full time

Seeking highly organised, detail focused individual who takes pride in their work.
- Opportunity to develop your career.
- Full time permanent position.

**Prime responsibility**:
To provide a high level of claims management services to clients and brokers through consulting, advisory, advocacy and negotiation. Applies well developed technical expertise, account management and business development capabilities to achieve agreed business objectives. Mentor to colleagues.

**Accountabilities**:
**Team Leadership**
- Drives high performance by aligning individuals’ goals to Unit and Company objectives.
- Builds unit capabilities through coaching, mentoring and training colleagues.
- Supports effective team communication through regular meetings.
- Coordinates work distribution amongst team members and delegates effectively.
- Identifies opportunities for efficiency improvements within Unit and coordinates implementation of initiatives.

**Account Management**
- In conjunction with the Claims Manager, drives the contract negotiation process for existing and new clients, agreeing service standards and documenting via the client service agreement.
- Manages the client relationship, identifies expectation, resolves servicing issues, is an escalation point for difficulties.
- Prepares routine and ad hoc reports.
- Presents quarterly and/or annual reviews.
- Participate in peer review/ audit process.
- Participate in projects related to continuous improvement and efficiency of the Claims Team.

**New and Expanded Business**
- Supports new and expanded business endeavours through provision of claims review data for tenders, renewals and proposals, and participates in client/prospect meeting.
- Active involvement in new business prospecting for under-deductible accounts including proposal submission.
- Conducts marketing and client/broker education presentations.
- Builds and maintains network to keep abreast of industry changes, competitor movements and new and expanded business opportunities.
- Maintains awareness of offerings of other divisions, supports the business’s cross-selling endeavours and makes referrals as appropriate.

**Claims Advisory**
- Drives the settlement negotiation process and negotiates on behalf of client.
- Acts as advocate for the client and determines commercial/technical responses to insurer’s denials of liability.
- Manages external providers (including legal panel) on behalf of client.

**Client and Broker Service**
- Meets service levels set out in Client Service Agreement.
- Responds to queries from clients and brokers.
- Prepares routine and ad hoc reports including claims trends analysis.
- Prepares quarterly and/or annual claims reviews.
- Attends client meetings.
- Conducts training for clients as required.

**Claims Technical**
- Manages moderate to high complexity claims according to the Company’s processes and client agreements, liaising with the Major Claims Unit as required.
- Liaises with clients, insurers, claimants and external providers.
- Interprets policy wordings and provides recommendations to clients.
- Analyses claims history data.
- Arranges/conducts investigations and interfaces with loss adjusters, client and site investigators as required.
- Determines claim settlement for under-deductible claims.

**Educational Requirements**
- Undertake Company-directed compliance training.
- 3-5 years in commercial claims.
- ANZIIF or IBANZ qualifications.

**Desired Education**
- Diploma Financial Services or Bachelor’s degree.
- Studying towards Graduate Diploma Financial Services.

**About Marsh**:
Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people regardless of their sex/gender, marital or parental status, ethnic origin, nationality, age, background, disability, sexual orientation, gender identity or any other characteristic protected by applicable law.

At Marsh we recognise that our people have different priorities and commitments. We are passionate about providing an inclusive workplace that supports all of our employees in managing those priorities, and we celebrate the diversity of all the family groups that make up our extended Marsh family.