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Sr. Claims Adjuster - Workers Compensation - Remote, California

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:  Home office
Employment Type:  Permanent
ID:  4007

Key Responsibilities

  • Input and maintain accurate claims records for designated accounts, within appropriate AGC&S Claims administration systems
  • Proactively review late/nonpayment of premium and support credit control process with Underwriting / Accounts
  • Manage timely production of management information reports (e.g. monthly major claims movements) and proactively identify loss trends
  • Investigate high exposure domestic and international claims that involve complex issues and/or litigation - requires qualified legal analysis
  • Evaluate and address coverage issues and determine appropriate reserving levels
  • Select and direct independent external service providers (e.g. Loss Adjusters)
  • Negotiate and resolve high exposure, complex claims ensuring cost effective, service orientated solutions
  • Ensure unpursued claims are resolved in accordance with settlement guidelines
  • Drive effective subrogation processes
  • 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
  • Undertake audits of external service providers as appropriate
  • 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.
  • 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)
  • Effectively report and present complex and contentious loss and claims information internally and externally

 

Key Requirements/Skills/Experience

  • Bachelor’s degree preferably in economics, law or other appropriate discipline
  • Experience handling California Workers Compensation claims.
  • 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.
  • Recognized relationship building with broker and peer group level and well established within local market
  • Solid understanding of legal and regulatory framework
  • Experience working in global complex matrix organization leading a team of professionals
  • Understanding in relevant products, wordings, terms and conditions and coverages
  • Knowledge of claims handling process from notification to settlement and recovery
  • Knowledge of reserving principles and practices; robust understanding of coinsurance and reinsurance and application
  • Understanding of relevant legal processes and procedures, litigation management, litigation avoidance techniques (e.g. mediation)
  • Solid communication, negotiate and conflict management skills
  • Ability to effectively absorb information from various sources and analyze, study or examine data in detail, and draw appropriate conclusions
  • Completion of professional insurance qualifications
  • 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 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