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Sr Claims Adjuster - Workers Compensation - Remote - Texas

Job Level:  Professional
Location: 

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:  Remote working
Employment Type:  Permanent
ID:  4647

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

 

Key Responsibilities:

Claims Processing and Administration:  

  • Responsible for proactive claim management including directing and/or performing investigation, regulatory compliance, evaluation, negotiation, and disposition of moderate to high exposure claims
  • Successful accomplishment requires innovative and hands-on claim, medical, and litigation management
  • Targets/Metrics:  Meet or exceed all individual metric and competencies goals
  • Assist in achieving department targets and metrics

Settlement

  • Negotiate and resolve noncomplex claims ensuring cost effective, service orientated solutions
  • Ensure claims are settled in accordance with settlement guidelines

Referrals and 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

Market Management

  • Proactively support acquisition of new business and retention of existing business
  • Proactively liaise with underwriters on market management initiatives
  • Attend industry functions

Relationship Management

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

Claims Processing & Administration

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

 

Required Skills:

  • Bachelor’s Degree
  • 5-7 years of experience and a specialized understanding of Workers Compensation products and portfolio with technical specialist knowledge as well as an understanding of regional/local Work Comp insurance markets and competitor landscape.
  • Recognized relationship building with broker and peer group level and well established within local market techniques (e.g. mediation)
  • Solid understanding of legal and regulatory framework
  • Experience working in global complex matrix organization leading a team of professionals
  • Advanced understanding of Workers Compensation products and portfolio with technical specialist knowledge
  • Advanced understanding of regional/local Work Comp insurance markets and competitor landscape
  • Advanced knowledge of claims handling process from notification to settlement and recovery
  • Knowledge of reserving principles and practices and a robust understanding of coinsurance and reinsurance and application
  • Understanding of relevant legal processes and procedures, litigation management, litigation avoidance techniques (e.g. mediation)
  • Recognized relationship building with broker and peer group level and well established within the local market.

 

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 Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us. Join us. Let’s care for tomorrow.

 

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.

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