Senior Claims Assessor

Job Purpose: The Claims Assessor plays a critical role in defining the company’s liability under credit insurance contracts. This position involves managing a portfolio of complex claims, ensuring timely and accurate claim assessments, and delivering excellent service to policyholders and brokers. The role requires a strong understanding of policy conditions, legal frameworks, and commercial sensitivity, as well as effective collaboration across departments such as Collections and Commercial.

 

Key Repsonsibilities:

• Analyze insurance claims to determine coverage, liability, and validity based on policy terms.
• Review and interpret policy conditions, risk data, and debt documentation.
• Request and evaluate additional documentation or clarifications from policyholders or brokers.
• Communicate assessment decisions and next steps clearly and professionally.
• Handle claim appeals and resolve complaints from policyholders or brokers.
• Collaborate with the Collections team to verify the adequacy of collection efforts and policy compliance.
• Respond promptly to internal and external inquiries through the Claims Helpdesk.
• Apply commercial gestures authorized by the Commercial department and escalate contractual issues when needed.
• Maintain detailed and accurate records and documentation throughout the claim lifecycle.
• Support process improvement initiatives, knowledge sharing, and departmental training.
• Run all claims-related reports and analyze data to identify trends, bottlenecks, and opportunities for improvement.
• Act as a super user for the claims management system: support testing, identify bugs, lead implementation of new features, and train team members on system updates and best practices

 

Key Experience:

Market knowledge

• Knowledge of Claims and Collections processes and systems
• Knowledge of Quality Standards , C&C operational guidelines
• Ability to identify mandatory documents per type of claims / collection
• Understanding of claims reporting requirements, tools, and performance indicators
• Familiarity with claims systems architecture and functionality; ability to act as a super user to support upgrades, troubleshoot issues, and train others

Required Skills

• Strong interpersonal and communication skills.
• Comfortable with numbers; strong analytical skills.
• Strong attention to detail.
• Ability to determine te appropriate course of action in assessing claims
• Result oriented & Team player
• Customer centric

 

Key Requirements:

• Bachelor’s Degree in Business Administration or a relevant field.
• 3-5 years experience in claims assessment with insurance company
• Excellent communication skills in English, both spoken and written
• Advanced Excel skill
• Claim Adjuster Liscense Right

Only meet some of the criteria? Please apply anyway – we want to hear from you!

 

Total Compensation Range:

$65,000-$85,000

Placement within the range provided above is based on the individual’s relevant experience, skills for the role, and location. Salary ranges are only one component of our total compensation package.

 

Benefits:

We value your goals and needs, at work and in life. As an associate, you’ll be supported with resources, benefits, and work-life balance so you can thrive in ways that matter to you.

 

Featured employee benefits to enrich your life:

· Competitive compensation

· Annual bonus eligibility and/or commission structure opportunities

· 401(k) discretionary match of up to 6%

· Flexible work schedules

· Health and wellness benefits

· Paid time off for vacation, illness, Birthday Day Off and Volunteer Day Off

· Tuition Reimbursement

· Family care resources, including fertility and adoption benefits

 

Learn more about our benefits here: 

https://rcmd-connect.com/allianztrade/

 

Our policies may change as our working lives evolve. Yet, our commitment to supporting our associates’ well-being and addressing the needs of our clients, business, and communities is unwavering.

 

Commitment to Diversity, Equity, and Inclusion

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.  We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disab