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Claims Compliance/QA Specialist
The Claims Quality Assurance Specialist is the top technical level specializing in a Line of Business and supporting each Claims Segment by reviewing claim files, providing reports, and working to improve overall claims department file quality. In addition the Claims Quality Assurance Specialist will:~crlf~##Serve as Subject Matter Expert for a specific LOB, including analyzing trends, identifying problems, and developing action plans to address concerns~crlf~##Implementation of consistent quality assurance process across the combined FFIC/AGCS organization
##Claims Strategy and Handling ~crlf~##Establishment and maintenance of Claims Quality Assurance review process for designated line of business within Region ~crlf~##Assist with the execution of local Claims strategy for designated line of business for the Region ##Collaborate with Claim management, claims legal, and other claims product teams to develop strategies and business plans to reduce claim cost/expenses~crlf~##Claim Targets: Assisting with driving the achievement of financial targets (e.g. full combined ratio) and contributing to annual target setting for claims ##Responsible for providing Claims Quality Assurance Director with regular updates regarding Quality Assurance metrics and trends ##Seek guidance from Region Claims Head on issues that will have an impact on the region and Company~crlf~##Claims Approach and Compliance: Ensuring claim handling consistency and discipline through management of the claims file review process in accordance with corporate and local claims guidelines~crlf~##Support Claims Leadership Team through regular reporting of quality assurance results and trends ~crlf~##Regularly evaluate Quality Assurance Review program to ensure focus on strategic business objectives~crlf~## Referrals and Compliance: Ensure all claims handled within authority limits, and in line with AGCS Claims procedures and guidelines~crlf~##Undertake audits of internal adjusters and external service providers as appropriate~crlf~##Coordinate resources to respond to internal and external auditor requests~crlf~##Respond to regulatory data reporting requests as appropriate ~crlf~~crlf~
##Bachelor Degree: Degree preferred~crlf~##Certification: Completion of professional insurance qualification (e.g. CII, CPCU, etc)~crlf~##Minimum 11+ years: Significant experience (minimum of c. 5 years) in Claims or Process Improvement management position.~crlf~##Minimum 11+ years: Proven ability to facilitate change effectively~crlf~##Minimum 11+ years: Successful track record of leadership of direct teams and complex matrix environments~crlf~##Minimum 11+ years: Experience of remotely managing and developing teams across numerous locations~crlf~##Minimum 7 to 10 years: Understanding of legal and regulatory framework~crlf~##Leadership ability to establish, drive and implement strategies, policies and procedures that support assigned claims operations; as well as the ability to assess exposures and mitigate expenses for multiple lines of business~crlf~##Claim Management: Manage the claims for LoB, monitor claims exposure and reserves; Analyze trends and scenario to develop and implement claim handling best practices~crlf~##Process Improvement: Demonstrated ability to identify, develop and implement quality process improvement initiatives~crlf~##Market Management: Apply the knowledge of how the market operates and functions, the business needs and customer needs~crlf~##Advanced: Analytical Skills: Ability to analyze highly complex data, from multiple sources, in detail; identify and resolve issues before they transpire.~crlf~##Intermediate: Strategic Planning: Ability to develop, implement and communicate strategies to address important trends or changes in the business~crlf~~crlf~
Allianz is the home for those who dare – a supportive place where you can take the initiative to grow and to actively strengthen our global leadership position. By truly caring about people – both its 100 million private and corporate customers and more than 147,000 employees – Allianz fosters a culture where its employees are empowered to collaborate, perform, embrace trends and challenge the industry. Our main ambition is to be our customers’ trusted partner, instilling them with the confidence to grow. If you dare, join us at Allianz Group.~crlf~~crlf~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.
Allianz Global Corporate & Specialty (AGCS) is a leading global corporate insurance carrier and a key business unit of Allianz Group. We provide risk consultancy, Property-Casualty insurance solutions and alternative risk transfer for a wide spectrum of commercial, corporate and specialty risks across 10 dedicated lines of business.~crlf~Our customers are as diverse as business can be, ranging from Fortune Global 500 companies to small businesses, and private individuals. Among them are not only the world’s largest consumer brands, tech companies and the global aviation and shipping industry, but also wineries, satellite operators or Hollywood film productions. They all look to AGCS for smart answers to their largest and most complex risks in a dynamic, multinational business environment and trust us to deliver an outstanding claims experience.
Worldwide, AGCS operates with its own teams in 32 countries and through the Allianz Group network and partners in over 200 countries and territories, employing over 4,300 people. As one of the largest Property-Casualty units of Allianz Group, we are backed by strong and stable financial ratings. In 2019, AGCS generated a total of €9.1 billion gross premium globally.~crlf~For more information, visit www.agcs.allianz.com or follow us on Twitter @AGCS_Insurance and LinkedIn.~crlf~~crlf~
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