Complex Claims Analyst - Financial Lines - EPL

Allianz Insurance•Alpharetta, GA

16d•$112,818 - $170,509•Hybrid

About The Position

This role is for a Complex Claims Analyst specializing in Financial Lines - EPL (Employment Practices Liability). The position can be based in Alpharetta, GA or Chicago, IL, or be remote for qualified candidates not within commuting distance of an Allianz Commercial North America office. The analyst will join a diverse team of claims professionals in a supportive atmosphere that values individual strengths and encourages professional development. The core function of the role is to proactively investigate, evaluate, and negotiate the resolution of assigned primary and excess EPL claims, ensuring they are handled within established best practices and autonomy limits. The analyst will also be responsible for developing and maintaining relationships with customers, brokers, and internal business partners.

Requirements

5 - 7 years’ experience in handling EPL claims involving complex coverage, liability, and damage issues.
Detailed understanding of Financial Lines claims products, EPL policy wordings, terms and conditions, and coverages.
Demonstrated established relationships with brokers at a peer group level and well-established within the local market.
Expert understanding of Liability products and portfolio, with expert understanding of coverage and application in the adjustment process.
In-depth understanding of regional/local Liability insurance markets and competitor landscape.
Detailed understanding of legal and regulatory framework.
Experience working in a complex, global matrix organization.
Bachelor’s degree in a relevant discipline.

Nice To Haves

Experience in applying artificial intelligence (AI) and machine learning (ML) to improve business processes and decision-making is highly beneficial.

Responsibilities

Investigate claims involving complex liability issues on primary and excess EPL claims, requiring qualified legal analysis.
Evaluate liability and analyze damages, determine appropriate reserving levels, and select/direct external service providers (e.g., Lawyers, Independent Adjusters, Experts).
Analyze coverage to determine coverage issues and communicate coverage positions to insureds and brokers.
Negotiate and resolve complex EPL claims, ensuring cost-effective, service-oriented solutions and adherence to settlement guidelines.
Ensure all claims are handled within authority limits and in line with AzC Claims complex procedures and claims handling guidelines.
Refer cases outside of authority level, preparing necessary documentation and materials.
Support the establishment of claims management procedures on new business accounts in association with clients, brokers, and loss adjusters.
Proactively support the acquisition of new business and retention of existing business.
Liaise with underwriters on market management initiatives and attend industry functions.
Represent AzC externally to the market and develop/maintain relationships with brokers, clients, and other stakeholders (e.g., third-party adjusters).
Drive involvement of functional areas (e.g., Underwriting, Operations) in the Claims handling process.
Report and present complex and contentious loss and claims information internally and externally.
Input and maintain accurate claims records for designated accounts within appropriate AzC Claims administration systems.
Manage timely production of management information reports (e.g., monthly major claims movements) and proactively identify loss trends.