Role Purpose:

• Complex Claims Analyst (Financial Lines):
• Proactively investigate, evaluate, and negotiate high exposure Insurance Agents & Misc. E&O claims, involving 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
• Develop and maintain strong working relationships with brokers, clients and internal business partners.

Key Responsibilities:

Claims Processing & Administration:

• Input and maintain accurate claims records for designated accounts, within appropriate AGC&S Claims administration systems
• Manage timely production of management information reports (e.g. monthly major claims movements) and proactively identify loss trends.

Investigation & Reserving of Claims:

• Investigate high exposure domestic and international claims that involve complex issues and/or litigation - requires qualified legal analysis
• Evaluate and address coverage issues
• Analyze facts and ensure timely and appropriate reserving levels.

Settlement:

• Negotiate and resolve high exposure, complex claims ensuring cost effective, service orientated solutions;
• Ensure unpursued claims are settled in accordance with settlement guidelines
• Drive effective subrogation processes.

Referrals & Compliance:

• Ensure all claims handled within authority limits, and in line with AGCS Claims complex procedures and guidelines; 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; and Undertake audits of external service providers as appropriate.

Market Management:

• Proactively support acquisition of new business and retention of existing business  (including client and broker negotiations where necessary);
• Proactively liaise with MMC on market management initiatives
• Attend industry functions.

Relationship Management:

• Positively represent AGCS externally to the market; Proactively drive involvement of functional areas in Claims handling process, e.g. Underwriting, MMC, ARC, Operations; Develop and maintain strong relationships with key brokers and clients and other relevant stakeholders (e.g. third party adjusters); and Effectively report and present complex and contentious loss and claims information internally and externally.

Required Skills:

• Bachelor Degree required and preferably a Law Degree or other appropriate discipline
• 5-7 years of experience and a specialized understanding of Line of Business products and portfolio with technical specialist knowledge.
• Specialized understanding of regional/local Line of Business markets and competitor landscape.
• Recognized relationship building with brokers at peer group level.
• Good understanding of legal and regulatory framework.
• Prior experience or ability to work in complex, global matrix organization.
• Expertise in relevant products, wordings, terms and conditions and coverages
• Knowledge of claims handling process from notification to settlement and recovery
• Understand  reserving principles and other insurance and risk transfer application
• Understand legal processes; litigation management/avoidance; and effective strategy for optimal resolution.
• Monitor legal and legislative developments relevant to Line of Business.

Compensation is commensurate with skills and experience and includes a comprehensive best in class benefits package.  Any salary or benefits information provided by third party resources such as external job posting websites etc., cannot be deemed reliable.