Workers Compensation Claims Specialist I (North East Region)

The proposed salary range for this position is $49,500.00 - $81,000.00, with short‑term incentive bonus eligibility set at 10%. Pay is based on role, location, skills, and experience, and may vary by location.

Schedule section:

Schedule

This position offers a hybrid work schedule from the 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.

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About the role

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.

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

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

Qualifications

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

Skills

• Microsoft Office experience
• Knowledge of insurance regulations, markets and products
• Knowledge and skill of claims handling
• Negotiation experience
• Experience in line of business
• Excellent communication skills
• Analytical skills

Pay

The proposed salary range for this position is $49,500.00 - $81,000.00, with short‑term incentive bonus eligibility set at 10%. Pay is based on role, location, skills, and experience, and may vary by location.

Schedule

This position offers a hybrid work schedule from the 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.