Senior Claims Adjuster, Allianz

Allianz

Location:
Canada, Montreal

Category:
Insurance

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

The main task of the role is to settle claims, in accordance with the segregation of duties principle. The Senior Claims Adjuster is responsible for processing claims received (settlement), managing a portfolio of claims and maintaining an appropriate service level. He/she denies, settles, or authorizes payments to routine claims based on coverage, appraisal, and verifiable information. Responsibilities also include corresponding with policyholders, brokers and agents and preparing report of findings of an investigation.

Job Responsibility:

Require, if necessary, missing documents/ information directly to the policyholders/ brokers
Inform the policyholders/ brokers of the status of the claim (assessed, settled)
Handle possible appeals (complaints) from the policyholders/ brokers
Liaise with Collections to assess policyholders’ collection efforts and compliancy with obligations under policy
Answer Collections requests/ authorizations
Answer policyholders / brokers questions in a professional and customer friendly manner
Close claims file following closing of Collections file
Handle objections to claims through negotiations with policyholders and any other stakeholders
Resolve claims issues which may have a major impact on claims settlements and business retention
Develop and maintain good relationships with policy holders and brokers by understanding their business and responding promptly to their questions
Send claims for collection to the lawyer and follow up and negotiate with the lawyer
Make all claims settlements, according to the Terms and Conditions of the insurance policy/contract
Discuss with trustee and file Proofs of Claim

Requirements:

Bachelor’s Degree in Business Administration or a relevant field
5-10 years’ experience in claims settlement with insurance company
Excellent communication skills in French and English, both spoken and written
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
Strong interpersonal and communication skills
Comfortable with numbers
strong analytical skills
Strong attention to detail
Ability to determine the appropriate course of action in settling claims
Result oriented & Team player
Customer centric
Business expertise
Strong knowledge of policies, contract law and local insolvency
Strong knowledge of claims settlement processes and systems
Strong knowledge of collections process
Strong knowledge of quality standards and claims and collection operational guidelines

What we offer:

Hybrid and flexible working model
Group Benefit Plan
Pension Plan
Employee Stock Purchase Plan
Paid time off
Employee Recognition & Rewards

Additional Information:

Job Posted:
May 07, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Claims Adjuster