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Senior Claims Adjuster
2 months ago
At Allianz Trade in North America, we are seeking a highly skilled Senior Claims Adjuster to join our team. As a Senior Claims Adjuster, you will play a critical role in defining our company's liability and processing claims received.
Key Responsibilities:- Assess Claim Submissions: Review claim submissions for compliance with policy terms and conditions, utilizing commercial, risk, and collection systems.
- Complete Coverage Analysis: Determine liability to the company by analyzing claim submissions.
- Validate Claim Assessment: Set financial reserves up to authority level of $270,000 and validate claim assessments.
- Reject Claims: Reject claims up to personal authority level of $270,000, ensuring strong compliance with internal communication processes.
- Communicate with Policyholders/Brokers: Provide updates on claim status, handle appeals, and request additional documents/information as needed.
- Liaise with Collections: Assess policyholders' collection efforts and compliancy with obligations under policy.
- Process Commercial Gestures: Process commercial gestures approved by the Commercial department and liaise with Commercial in case of contractual questions.
- Develop Relationships: Develop and maintain good relationships with policyholders and brokers by understanding their business and responding promptly to their questions.
- Claims Help Desk: On a rotational basis, take responsibility for the Claims Help Desk and respond to all enquiries in a timely manner.
- Review Payment Plans: Review payment plan submissions and approve up to authority level of $250,000 and 6 months.
- Review Claim Filing Extensions: Review claim filing extensions up to authority level of $250,000 and 6 months.
- Claims and Collections Knowledge: Knowledge of Claims and Collections processes and systems.
- Quality Standards: Knowledge of Quality Standards, C&C operational guidelines.
- Document Identification: Ability to identify mandatory documents per type of claims/collection.
- Education: Bachelor's Degree in Business Administration or a relevant field.
- Experience: 5-10 years' experience in claims assessment with an insurance company.
- Communication Skills: Excellent communication skills in English, both spoken and written.
- Interpersonal Skills: Strong interpersonal and communication skills.
- Policies and Contract Law: Excellent knowledge of policies, contract law, and local insolvency.
- Claims Settlement Processes: Excellent knowledge of claims settlement processes and systems.
- Collections Process: Excellent knowledge of collections process.
- Quality Standards: Excellent knowledge of quality standards and claims and collection operational guidelines.
