Senior Claims Specialist -Long Tails

Allianz

6 - 10 years

4 - 5 Lacs

mumbai

Posted:3 hours ago| Platform:

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Skills Required

career development interpersonal skills aviation litigation management underwriting artificial intelligence risk consulting healthcare claims processing service quality

Work Mode

Work from Office

Job Type

Full Time

Job Description

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 (egLoss 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\uFF1A
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
Written and verbal communication skills
Presentation skills in a various internal and external settings

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