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Senior Claims Adjuster - Workers Compensation - Remote, NY or Northeast US

Job Level:  Professional

Remote, IL, US, 60606

Due Date:  As soon as possible
Area of Expertise:  Customer Services & Claims
Unit:  Allianz Global Corporate Specialty
Job Type:  Full-Time
Remote Job:  Home office
Employment Type:  Permanent
ID:  4010

Role Purpose:

  • Proactively investigate, negotiate and resolve workers compensation 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
  • Training and development of team and technical resource point for other Claims Handlers
  • Develop and maintain strong relationships with brokers and clients


<span 72="">Key Responsibilities

  • <span 72="">Input and maintain accurate claims records for designated accounts, within appropriate AGC&S Claims administration systems
  • <span 72="">Proactively review late/nonpayment of premium and support credit control process with Underwriting / Accounts
  • <span 72="">Manage timely production of management information reports (e.g. monthly major claims movements) and proactively identify loss trends
  • <span 72="">Investigate high exposure domestic and international claims that involve complex issues and/or litigation - requires qualified legal analysis
  • <span 72="">Evaluate and address coverage issues and determine appropriate reserving levels
  • <span 72="">Select and direct independent external service providers (e.g. Loss Adjusters)
  • <span 72="">Negotiate and resolve high exposure, complex claims ensuring cost effective, service orientated solutions
  • <span 72="">Ensure unpursued claims are resolved in accordance with settlement guidelines
  • <span 72="">Drive effective subrogation processes
  • <span 72="">Ensure all claims handled within authority limits, and in line with AGCS Claims complex procedures and guidelines
  • <span 72="">Refer cases outside of authority level, preparing referral documentation and materials as appropriate
  • <span 72="">Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters
  • <span 72="">Undertake audits of external service providers as appropriate
  • <span 72="">Proactively support acquisition of new business and retention of existing business (including client and broker negotiations where necessary)
  • <span 72="">Proactively liaise with MMC on market management initiatives
  • <span 72="">Attend industry functions.
  • <span 72="">Positively represent AGCS externally to the market
  • <span 72="">Proactively drive involvement of functional areas in Claims handling process, e.g. Underwriting, MMC, ARC, Operations
  • <span 72="">Develop and maintain strong relationships with key brokers and clients and other relevant stakeholders (e.g. third-party adjusters)
  • <span 72="">Effectively report and present complex and contentious loss and claims information internally and externally


<span 72="">Key Requirements/Skills/Experience

  • <span 72="">Bachelor’s degree preferably in economics, law or other appropriate discipline
  • <span 72="">Must have experience handling New York Workers Compensation claims
  • <span 72="">Specialized understanding of Workers Compensation products and portfolio with technical specialist knowledge as well as an understanding of regional/local Workers Compensation insurance markets and competitor landscape
  • <span 72="">Recognized relationship building with broker and peer group level and well established within local market
  • <span 72="">Solid understanding of legal and regulatory framework
  • <span 72="">Experience working in global complex matrix organization leading a team of professionals
  • <span 72="">Understanding in relevant products, wordings, terms and conditions and coverages
  • <span 72="">Knowledge of claims handling process from notification to settlement and recovery
  • <span 72="">Knowledge of reserving principles and practices; robust understanding of coinsurance and reinsurance and application
  • <span 72="">Understanding of relevant legal processes and procedures, litigation management, litigation avoidance techniques (e.g. mediation)
  • <span 72="">Solid communication, negotiate and conflict management skills
  • <span 72="">Ability to effectively absorb information from various sources and analyze, study or examine data in detail, and draw appropriate conclusions
  • <span 72="">Completion of professional insurance qualifications
  • <span 72="">Compliance with all state licensing requirements


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.

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.

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.


For more information, visit www.agcs.allianz.com or follow us on Twitter @AGCS_Insurance and LinkedIn.

Nearest Major Market: Chicago