Auto Litigation Claims Specialist

Responsibilities

• Work closely with attorneys internally and externally
• Partner with attorneys on complex claims cases
• Claims process management, work closely with attorney
• Handle auto litigated claims
• Can handle high exposure claims
• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal or commercial line claims.
• Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
• Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
• Assess damages by calculating applicable damages or range of damages allowed by law.
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.
• Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.

Qualifications

• Bachelor’s Degree and 3 or more years of experience in the Claims or Insurance area OR
• Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area OR
• Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area OR
• High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area AND
• Must obtain and maintain required adjuster license(s)
• Knowledge of insurance regulations, markets and products
• Microsoft Office experience

Preferred Qualifications

• Auto commercial experience
• Personal lines auto experience
• Effective verbal and written communication skills
• Strong analytical, critical thinking, and problem-solving skills
• Solid time management, prioritization and multi-tasking skills
• Experience collaborating in a team environment and building cross functional working relationships
• Adept in identifying and explaining complex claims and moderately complex claims
• Ability to determine the scope and exposure for moderately complex claims
• Ability to develop and execute a negotiation strategy and plan for resolution
• Ability to identify subtleties in customer/client and/or business partner interactions
• Ability to present information necessary to propose a claim resolution to stakeholders