Workers Compensation Litigated Claims Specialist II

About the role

Zurich North America Claims is seeking a Workers Compensation Litigated Claims Specialist II to join their high-performing team. This role is available in two dynamic locations: Schaumburg, IL (hybrid schedule) and Indiana (fully remote).

Responsibilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for worker’s compensation claims of moderate to high exposure and complexity.
• Exercise judgment to determine compensability 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.
• Develop case strategy; develop a case evaluation; escalate issues as appropriate.
• Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
• Audit 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

• Bachelor degree and 3 or more years of experience in the Claims or Insurance area OR
• Zurich Certified Insurance Apprentice, including an associate degree with 3 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. OR
• High School Diploma Equivalent and 5 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

• Basic Qualifications: Bachelor degree and 3 or more years of experience in the Claims or Insurance area OR
• Zurich Certified Insurance Apprentice, including an associate degree with 3 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. OR
• High School Diploma Equivalent and 5 or more years of experience in the Claims or Insurance area.

AND Must obtain and maintain required adjuster license(s)

Basic Qualifications: Bachelor degree and 3 or more years of experience in the Claims or Insurance area OR

Skills

• Strong analytical thinker with strong problem-solving, critical thinking, and financial acumen; skilled in interpreting insurance policies, evaluating exposure, and identifying actuarial trends.
• Adept at multi-tasking and prioritization in fast-paced environments, with a proactive approach to sharing insights and optimizing outcomes across functions.
• Proven ability to collaborate across teams, build cross-functional relationships, and leverage diverse perspectives to improve claim outcomes.
• Experienced in guiding complex litigated claims, including directing counsel, managing litigation strategy, and following best practices for reserving indemnity, medical, and expense components.

Benefits

Competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]

Pay

The proposed Salary range for this position is $59,900.00 - $98,200.00, with short-term incentive bonus eligibility set at 10%.