Senior Claims Specialist -Long Tails at Allianz Global Corporate & Specialty SE

Mumbai, maharashtra, India -

Full Time

Start Date

Immediate

Expiry Date

14 Feb, 26

Salary

0.0

Posted On

16 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Claims Administration, Investigation, Reserving, Negotiation, Legal Analysis, Coverage Evaluation, Relationship Management, Subrogation, Compliance, Communication, Presentation Skills, Organizational Skills, Interpersonal Skills, Business Knowledge, Artificial Intelligence

Industry

Financial Services

Description

Job Purpose / Role： The main purpose of this role is to proactively investigate, negotiate and resolve medium-sized claims, involving more complex issues and/or litigation. Ensure claims handled within authority limits, and in line with AGCS Claims Standards procedures and guidelines. Drive third party service providers to achieve economical results and to provide a high quality service to all internal and external customers Key responsibilities： Claims Processing and Administration Input and maintain accurate claims records for designated accounts, within appropriate AGC&S Claims administration systems Proactively review late/non-payment of premium and support credit control process with Underwriting / Accounts Investigation and Reserving of Claims Investigate domestic and international claims that involve some complex issues and/or litigation - requires qualified legal analysis (in cooperation with legal) Evaluate and address coverage issues and determine appropriate reserving levels Select and direct independent external service providers (e.g. Loss Adjusters) and establish and maintain professional relationship with litigation service provider under supervision. Settlement Negotiate and resolve medium-sized claims ensuring cost effective, service orientated solutions Ensure unpursued claims are settled in accordance with settlement guidelines Drive effective subrogation processes. Referrals and Compliance Ensure all claims handled within authority limits, and in line with AGCS Claims procedures and guidelines and Claims litigation management best practices Refer cases outside of authority level, preparing referral documentation and materials as appropriate Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters Undertake audits of external service providers as appropriate Positively represent AGCS externally to the market Develop and maintain strong relationships with key brokers and clients and other relevant stakeholders. Key Experience / Requirements / Skills： Specialized understanding of LoB products and portfolio with technical specialist knowledge. Management of systems Demonstrable, established relationships with brokers at peer group level and established within market Understanding of legal and regulatory framework Experience in working in complex, global matrix organization Required Education/ Experience： Degree in Economics, Law, or other appropriate discipline Engineering Degree. Law Degree Completion of professional insurance qualifcation (e.g. CII) Required General skills： Fluent in English Written and verbal communication skills. Presentation skills in a various internal and external settings Organisational and interpersonal skills Business knowledge and professional disposition A basic understanding of artificial intelligence (AI) and its potential applications in business is essential. 81629 | Customer Services & Claims | Professional | Non-Executive | Allianz Commercial | Full-Time | Permanent

Responsibilities

The Senior Claims Specialist is responsible for investigating, negotiating, and resolving medium-sized claims with complex issues and litigation. This role also involves ensuring compliance with AGCS Claims Standards and managing relationships with third-party service providers.