Sr. Claims Specialist, Workers Compensation

What can happen when you grow your career?

At Zurich

Zurich North America has two talent referral programs in the US. Scroll down to learn more and submit your referral.

About the role

Zurich is seeking an experienced Workers’ Compensation Claims Specialist to join our team!

Responsibilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgment 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.

Requirements

• Basic Qualifications:
  • Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.
  • Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.
  • Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
  • Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.
  • High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.
• Preferred Qualifications:
  • 6+ experience handling high severity Workers Compensation claims.
  • 6+ years of experience in litigation management.
  • Jurisdiction expertise handling state of Nevada.

Qualifications

• Must obtain and maintain required adjuster license(s).
• Microsoft Office experience.
• Knowledge of insurance regulations, markets and products.

Skills

• Effective verbal and written communication skills.
• Strong analytical, critical thinking and problem-solving skills.
• Strong multi-tasking and prioritization skills.
• Experience collaborating in a team environment and building cross functional working relationships.
• Proactively shares and promotes sharing of insights.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims.
• Leverages trend and relationships to provide high-quality customer service.
• Identifies, understands and explains complex financial and/or actuarial trends/concepts.
• Communicates coverage determinations to customers/clients/brokers for complex claims.
• Directs counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

Benefits

• Your pay at Zurich is based on your role, location, skills, and experience.
• You may also be eligible for bonuses and merit increases.
• We offer competitive pay and comprehensive benefits for employees and their families.

Pay

The proposed Salary range for this position is $75,800.00-124,100.00, with short-term incentive bonus eligibility set at {15%}.

Schedule

Full Time

Location

• AM - Las Vegas
• AM - Remote Work (US)

Remote Working

Hybrid