Workers Compensation Claims Specialist I (North East Region)

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use those exact headings. Not "Basic Qualifications". So we need to map content to these headings. We have "Requirements" maybe for basic qualifications. "Qualifications" maybe for preferred? Or "Skills" for skills. Let's decide: - About the role: description paragraph. - Responsibilities: list of duties. - Requirements: basic qualifications (must have). - Qualifications: preferred qualifications. - Skills: maybe list of skills from preferred? Could combine with qualifications. But we need to avoid thin sections. Could put skills under Qualifications. But we need to follow instruction: Prefer a few substantive sections over many thin ones. So maybe we combine Basic and Preferred into one "Qualifications" section, and put Skills as part of that? But they said use headings from list; we can omit sections if no real content. So we could have: About the role, Responsibilities, Qualifications, Pay, Schedule. Benefits: they gave schedule info (hybrid work schedule). Also Benefits: they mention competitive pay and comprehensive benefits, and link to Total Rewards. That's benefits info. So we can include Benefits. Pay: they gave salary range and bonus. Schedule: they gave hybrid work schedule and remote options. Thus sections: About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. We need to not repeat job title as heading. No Job ID etc. We need to preserve all substantive information. Must not invent or summarize away detail. Must not include boilerplate like EEO etc. Must remove duplicated lines. We need to capture all details: From posting: - Zurich is looking for an accomplished Workers Compensation Claims Specialist I for our Northeast region. - This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in one of the following states: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, or West Virginia. - As a Claims Specialist you will handle multi-party commercial line Workman’s Compensation claims of low to moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. - In this role you will be responsible for: (list) List items: 1. Document claims file by accurately capturing and updating claims data/information in compliance with best practices for commercial line claims of moderate to high exposure and complexity. 2. Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence. 3. Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage. 4. Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate. 5. Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims. 6. Assess damages by calculating applicable damages or range of damages allowed by law. 7. Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. 8. Meet quality standards by following best practices That's responsibilities. Basic Qualifications: - Bachelors Degree and 2 or more years of experience in the Claims or Insurance area OR - Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area OR - High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area OR - Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area - AND Must obtain and maintain required adjuster license(s) - Microsoft Office experience - Knowledge of insurance regulations, markets and products Preferred Qualifications: - 3+ years of experience handling claims with medium to high severity and exposure - 3+ years of Litigation Management experience - Familiarization with NY jurisdiction. Willingness to learn additional jurisdictions as needed - EDI filing requirements - MSA/Medicare knowledge - WCCA, WCCP Designations - Knowledge and skill of claims handling - Negotiation experience - Experience in line of business - Excellent communication skills - Analytical skills Pay: - Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is 49,500.00 - $81,000.00, with short-term incentive bonus eligibility set at 10%. Benefits: - We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Schedule: - This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in one of the following states: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, or West Virginia. Also mention hybrid work schedule. We need to avoid duplication: The schedule info appears also in About the role? Actually About the role includes that sentence. We should not duplicate. We can keep schedule info only in Schedule section, and About the role can be a brief description without schedule? But we must preserve all substantive information; we can't omit schedule info. So we need to include schedule info somewhere. If we put it in Schedule section, we can omit from About the role to avoid duplication. However About the role currently includes that sentence; we could rephrase About the role to not include schedule but still capture role description. But we must preserve all substantive information; we can move schedule info to Schedule section and keep About the role without that sentence. That's okay as long as we keep the info elsewhere. Thus About the role: Zurich is looking for an accomplished Workers Compensation Claims Specialist I for our Northeast region. As a Claims Specialist you will handle multi-party commercial line Workman’s Compensation claims of low to moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. That's fine. Now Responsibilities: list as above. Qualifications: we need to include both basic and preferred? Could split into Requirements (basic) and Qualifications (preferred). But we have headings Requirements and Qualifications available. Let's use Requirements for basic qualifications, Qualifications for preferred qualifications. That seems appropriate. Thus: - Requirements: list basic qualifications. - Qualifications: list preferred qualifications. Skills: maybe we could omit if we already covered skills in qualifications. But we have a Skills heading; we could put some skill items there, but risk thin. Better to omit Skills section if no distinct content beyond what's already in Qualifications. The instruction: Prefer a few substantive sections over many thin ones. So we can omit Skills. Benefits: include competitive pay and comprehensive benefits, plus link. Pay: include salary range and bonus. Schedule: include hybrid/remote details. Now we need to format with

headings,

• for lists,

  for prose. We must not include any markdown fences. Let's craft. Check for any duplicated lines: Ensure we don't repeat schedule info elsewhere. Check for any boilerplate: Remove EEO etc. Now produce HTML. We'll need to escape any special characters? Not needed. Let's write:

  About the role

  Zurich is looking for an accomplished Workers Compensation Claims Specialist I for our Northeast region. As a Claims Specialist you will handle multi-party commercial line Workman’s Compensation claims of low to moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

  Responsibilities

  • Document claims file by accurately capturing and updating claims data/information in compliance with best practices for 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.
  • Meet quality standards by following best practices.

  Requirements

  • Bachelor’s Degree and 2 or more years of experience in the Claims or Insurance area
  • Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area
  • High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area
  • Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area
  • Must obtain and maintain required adjuster license(s)
  • Microsoft Office experience
  • Knowledge of insurance regulations, markets and products

  Qualifications

  • 3+ years of experience handling claims with medium to high severity and exposure
  • 3+ years of Litigation Management experience
  • Familiarization with NY jurisdiction; willingness to learn additional jurisdictions as needed
  • EDI filing requirements
  • MSA/Medicare knowledge
  • WCCA, WCCP Designations
  • Knowledge and skill of claims handling
  • Negotiation experience
  • Experience in line of business
  • Excellent communication skills
  • Analytical skills

  Benefits

  We offer competitive pay and comprehensive benefits for employees and their families. Learn more about Total Rewards here.

  Pay

  Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed salary range for this position is $