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Senior Claims Assessor

4 months ago

Montreal, Canada Allianz Trade in North America Full time

Job Purpose: The main tasks of the role are to define company’s liability (assessment) according to contractual provisions. The Senior Claims Assessor is responsible for processing claims received and allocation of recoveries, managing a portfolio of claims and maintaining an appropriate service level per segment which supports customer satisfaction objectives. He/she analyzes and reviews claims for accuracy, completeness and eligibility, and prepares and maintains reports and records for processing.

Key Responsibilities/What You Do:

  • Review and analyze claim submission for validity and coverage analysis to determine /assess liability to the company
  • Carry out all checks relating to policy conditions, risks information and debt aspects
  • Require, if necessary, additional documents / information directly to the policyholder/ broker
  • Inform the policyholders/ brokers of the status of the claim (assessed, settled),
  • Handle possible appeals (complaints) from the policyholders/ brokers
  • In case of non-inclusive collection, liaise with Collections to assess policyholders’ collection efforts and compliancy with obligations under policy
  • Answer Collections requests/ authorizations
  • Strictly enforce the policy wording and reach out to MMCD for commercial considerations
  • Apply commercial gestures decided by Commercial department and liaise with Commercial in case of contractual question.
  • Develop and maintain good relationships with policy holders and brokers by understanding their business and responding promptly to their questions
  • Manages Claims Helpdesk inbox
  • Manages International cases – exports collection. Conduit between BBU and clients
  • Compass/IMX/ATO testing requirements
  • Financial dispositions of payments from debtor via cheque or wire method
  • Review micro-strategies reports for C&C for internal and external users

Key Requirements/What You Bring:

  • Bachelor’s Degree in Business Administration or a relevant field.
  • 5-10 years’ experience in claims assessment with insurance company
  • Excellent communication skills in French and English, both spoken and written
  • Strong working knowledge of Excel, Work and PowerPoint
  • Excellent knowledge of policies, contract law and local insolvency
  • Excellent knowledge of claims settlement processes and systems
  • Excellent knowledge of collections process
  • Excellent knowledge of quality standards and claims and collection operational guidelines


Allianz Trade in Canada, welcomes all applicants with disabilities and accommodations are available upon request.

Allianz Trade in Canada, is an equal opportunity employer that does not discriminate on the basis of; race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, marital status, family status or disability.

We thank all applicants for their interest however, only those candidates selected for an interview will be contacted.

Allianz Trade is the trademark used to designate a range of services provided by Euler Hermes.



Objectif du poste: les principales taches du poste consistent à définir la responsabilité de l’entreprise (évaluation) selon les dispositions contractuelles. Le responsable principal des sinistres est chargé du traitement des demandes de règlement reçues et de l’allocation des recouvrements, de la gestion d’un portefeuille de sinistres et du maintien d’un niveau de service approprie par segment afin de soutenir les objectifs de satisfaction de la clientèle. Il/elle analyse et examine les demandes de règlement pour en vérifier l’exactitude, l’exhaustivité et l’éligibilité, et prépare et tient à jour des rapports et des dossiers en vue de leur traitement.

Responsabilités / Ce Que Vous Ferez:

  • Passer en revue et analyser les demandes de règlement pour déterminer la validité et la couverture, afin d’évaluer la responsabilité de l’entreprise
  • Effectuer toutes les vérifications liées aux conditions de la police, aux informations sur les risques et aux aspects lies aux créances
  • Demander, si nécessaire, des documents/informations supplémentaires directement au titulaire de la police/courtier
  • Informer le titulaire de la police/courtiers de l’état de la demande de règlement (évaluée, réglée)
  • Traiter les éventuels appels (plaintes)du titulaire de la police/courtiers
  • En cas de recouvrement non inclus, collaborer avec le service de recouvrement pour évaluer les efforts de recouvrement des titulaires de police et la conformité aux obligations prévues par la police
  • Répondre aux demandes/autorisations de recouvrement
  • Appliquer strictement les termes de la police et consulter le département commercial pour les considérations commerciales
  • Appliquer les gestes commerciaux décide par le département commercial et collaborer avec le service commercial en cas de question contractuelle
  • Développer et maintenir de bonnes relations avec les titulaires de police et les courtiers en comprenant leur activer et en répondant rapidement à leurs questions
  • Gérer la boite de réception du service d’assistance aux demandes de règlement
  • Gérer les cas internationaux – recouvrement des exportations. Faire le lien entre BBU et les clients
  • Exigence de test pour Compass/IMX/ATO
  • Disposition financière des paiements du débuter par chèque ou virement
  • Passer en revue les rapports de stratégies pour C&C (Crédit et recouvrement) pour les utilisateurs internes et externes

Exigences /Ce Que Vous Apportez:

  • Baccalauréat en administration des affaires ou dans un domaine pertinent
  • 5 à 10 ans d’expérience dans l’évaluation des sinistres auprès d’une compagnie d’assurance
  • Excellentes compétences en communication en français et en anglais, a l’oral et a l’écrit
  • Solide connaissance pratique d’Excel, de Word et de PowerPoint
  • Excellente connaissance des polices d’assurance, du droit des contrats et de l’insolvabilité locale
  • Excellente connaissance des processus et systèmes de règlement des sinistres
  • Excellente connaissance du processus de recouvrement
  • Excellente connaissance des normes de qualité et des lignes directrices opérationnelles en matière de sinistres et de recouvrement

Allianz Trade au Canada accueille tous les candidats handicapés et des aménagements sont disponibles sur demande.

Allianz Trade au Canada est un employeur offrant des chances égales qui ne fait aucune discrimination fondée sur la race, l'ascendance, le lieu d'origine, la couleur, l'origine ethnique, la citoyenneté, la croyance, le sexe, l'orientation sexuelle, l'identité de genre, l'expression de genre, l'âge, l'état matrimonial, l'état familial ou le handicap.

Nous remercions tous les candidats de leur intérêt, cependant, seuls les candidats sélectionnés pour une entrevue seront contactés.

Allianz Trade est la marque utilisée pour désigner une gamme de services fournis par Euler Hermes