Job Purpose: The main tasks of the role is to define company’s liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of recoveries, managing a portfolio of claims and maintaining an appropriate service level per segment which supports customer satisfaction objectives. He/she analyzes and reviews claims for accuracy, completeness and eligibility, and prepares and maintains reports and records for processing.

 

Key Responsibilities:

Assess claim submission by checking compliance with all policy terms and conditions utilizing commercial, risk and collection systems Complete coverage analysis to determine liability to the company Validate claim assessment and set financial reserve up to authority level of $270,000 Reject claim up to personal authority level of $270,000, with strong compliance with internal communication process to enhance customer experience Strong two-way communication with policyholders / brokers: request, if necessary, additional documents / information, provide updates on the status of the claim (assessed, settled), handle possible appeals (complaints) In case of non-inclusive collection, liaise with Collections to assess policyholders’ collection efforts and compliancy with obligations under policy Answer Collections requests/ authorizations Strictly enforce the policy wording and reach out to MMCD for commercial considerations Process commercial gestures approved by Commercial department and liaise with Commercial in case of contractual question Develop and maintain good relationships with policy holders and brokers by understanding their business and responding promptly to their questions On a rotational basis take responsibility for the Claims Help Desk and in a timely manner respond to all enquiries received Review payment plan submissions and approve up to authority level of $250,000 and 6 months Review claim filing extensions up to authority level of $250,000 and 6 months

Key Experience:

Market knowledge: Knowledge of Claims and Collections processes and systems Knowledge of Quality Standards, C&C operational guidelines Ability to identify mandatory documents per type of claims / collection Business expertise Bachelor’s Degree in Business Administration or a relevant field. 5-10 years’ experience in claims assessment with insurance company Required Skills Excellent communication skills in English, both spoken and written Strong interpersonal and communication skills.

Key Skills:

Business expertise Excellent knowledge of policies, contract law and local insolvency Excellent knowledge of claims settlement processes and systems Excellent knowledge of collections process Excellent knowledge of quality standards and claims and collection operational guidelines

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. 
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Great to have you on board. Let's care for tomorrow.

 

Note: Diversity of minds is an integral part of Allianz’ company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to have motivation in gaining varied skills from different positions and to collect experiences from across Allianz Group.