Analyst - Claims Service

Job updated 8 days ago

Job Description

美世是全球領先的人力資源顧問,專精於員工健康、人才與職涯、以及企業財務規劃,有超過2萬名專業同仁在130個國家提供客戶服務,我們提供最具洞察力的建議以及領先市場的科技,讓企業客戶得以提升最重要的資產--員工--的健康、職涯以及財富,在台灣,超過80%的財富前500大企業和美世合作以強化在台灣的人才管理。

我們的員工福利與健康部門正在招募理賠專家,以協助企業客戶的員工進行保險理賠申請時的各種面向,包含了解投保項目、請領資格、準備申請文件、回應照會、解讀理賠明細、以及爭議案件的申請,並秉持保險經紀人的精神,以要保人及被保險人的最佳利益給予客戶建議。因此,這個職務需要具備的能力包含:

1. 解讀保險條款,尤其是壽險、傷害險、醫療險以及旅行平安險

2. 熟悉保險法規,例如示範條款以及對於理賠作業的相關規定

3. 富於同理心,能夠理解被保險人的困境並提供協助

4. 了解要保人在員工福利方面的策略

5. 善於多方溝通,能與公司間不同執掌的工作夥伴進行討論並調整工作方式

We will count on you to:

  • Our Employee Benefits and Health department is recruiting claims specialists to assist corporate clients' employees with various aspects of insurance claims, including understanding coverage, eligibility for claims, preparing application documents, responding to inquiries, interpreting claim details, and handling disputed cases.
  • The role also involves providing advice to clients in the best interests of policyholders and insured individuals, in line with the spirit of an insurance broker.

What you need to have:

  • Interpreting insurance policy terms, especially for life insurance, accident insurance, medical insurance, and travel insurance.
  • Familiarity with insurance regulations, such as model clauses and relevant provisions for claims operations.
  • Empathy and the ability to understand the challenges faced by insured individuals and provide assistance.
  • Understanding the strategies of policyholders in the area of employee benefits.
  • Strong communication skills to engage in discussions and adapt working methods with colleagues from different departments within the company.
  • Proficiency in English language, as many of the clients served are foreign companies, and there may be a need to assist native English speakers in listening, speaking, reading, and writing.

Mercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer’s more than 20,000 employees are based in 43 countries and the firm operates in over 130 countries. Mercer is a business of Marsh McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with more than 85,000 colleagues and annual revenue of over $23 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit mercer.com.

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.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

1
No requirement for relevant working experience
Negotiable
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About us

美商達信保險經紀人股份有限公司台灣分公司成立於1975年,是台灣第一家跨國性保險經紀人公司;隸屬於美國MMC(Marsh & McLennan Companies, Inc.)集團。總部設於美國紐約,擁有百年歷史的MMC集團是一世界性的專業財務服務公司,分佈於一百多個國家為當地企業提供整體性的保險規劃、風險顧問、管理諮詢、投資分析與資金運用等服務。MMC集團股票同時在紐約、芝加哥、太平洋地區及倫敦証劵交易所上市。
  • 達信(Marsh)保險經紀人公司是全球風險管理與保險服務的領導者,為因應產業全球化的發展,在全世界設立了四百多個營運處所,擁有近二萬六千名能以當地語言溝通並深入了解當地風險議題的專業人員,以綿密的服務網為全球一百多個國家的客戶提供有效率且高品質的服務。
  • 達信(Marsh)台灣分公司成立三十多年來已成功地協助並完成許多大型企業與重大工程的風險管理規劃及財產、利潤及責任等相關保險計劃安排。目前擁有近百名專業成員,專注於專業及創新風險諮詢服務的提供,以滿足各類工商業及服務性組織的需求。
  • 達信(Marsh)台灣分公司為配合台灣經濟發展,除依產業特性成立專案小組,並配置風險管理顧問服務專家提供風險解決方案。隨著台灣產業國際化,台灣跨國企業保險及風險管理需求的日益增加,達信成立台商服務組(Taiwan Client Service),為跨國性客戶提供跨國風險管理諮詢、保險安排及後續理賠等服務。

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