Senior Claims Specialist

2 days ago


Mumbai, Maharashtra, India Allianz Commercial Full time ₹ 12,00,000 - ₹ 36,00,000 per year

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 | Allianz Commercial | Full-Time | Permanent

What's in it for you?
Let's Care About Everything That Makes You, You
We are committed to nurturing an inclusive environment where everyone feels they belong.  We offer a hybrid working model, which recognizes the value of striking a balance between in-person collaboration and remote working.  Please feel free to discuss flexible working arrangements with us.

Let's care for your financial wellbeing
We believe in rewarding performance with a great compensation and benefits package (details vary by location), including a generous bonus scheme and pension.

Let's care for your opportunities to progress
From career development and digital learning programmes to international career mobility, we offer lifelong learning for our employees worldwide and an environment where innovation, delivery and empowerment are fostered.

Let's care for life's twists and turns
From our support for flexible working, health, and wellbeing (including private healthcare and generous parental leave benefits), to helping people return from career breaks with experience that nothing else can teach.  We've got your back.

Let's care for our society and our planet
With opportunities to be engaged in shaping a future that is safe, inclusive, and sustainable, we care for the tomorrows of our people, our industry, and our clients.

Care to join us?
Allianz Commercial is the center of expertise of Allianz Group, insuring mid-sized businesses, large enterprises, and special risks. Our customers include top consumer brands, financial institutions, industry leaders, the global aviation and shipping industries, as well as family-owned and medium-enterprises. We also cover unique risks such as offshore wind farms, infrastructure projects and film productions. Our clients trust us to provide a wide range of traditional and alternative risk transfer solutions, outstanding risk consulting and multinational services, and seamless claims handling. Allianz Commercial helps customers to prepare for what's ahead.

Learn more about careers at Allianz Commercial by clicking here.

Learn more about Allianz Commercial by clicking here.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matters, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us.
Let's care for tomorrow.


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