Claims Examiner at Sedgwick analyzing and processing complex workers' compensation claims. Managing claims resolution, negotiating settlements, and maintaining client relationships.
About the role
- Senior Claims Specialist managing general liability claims for Zurich's international Program team. Collaborating with claims professionals to ensure efficient and customer-centric claims service.
Responsibilities
- Work with a team of claims professionals with diverse experiences and backgrounds
- Handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits
- Ensure claims are handled efficiently and effectively while delivering a customer-centric claims service
- Collaborate and develop partnerships with internal and external points of contact including customers, vendors, suppliers, and brokers
- Provide a quality claims experience
- Learn and develop knowledge of established protocols and industry best practices to ensure claims are handled in the most efficient, effective way
Requirements
- Bachelor’s Degree and 6 or more years of experience in the Claims and/or Litigation Management area OR High School Diploma Equivalent and 8 or more years of experience in the Claims and/or Litigation Management area OR Juris Doctor and 2 or more years of experience in the Claims and/or Litigation Management area OR Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/or Litigation Management area OR Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/or Litigation Management area
- Must obtain and maintain required adjuster license(s)
- Microsoft Office experience
- Knowledge of insurance regulations, markets, and products
- 8+ years of experience handling commercial general liability claims within the area that includes litigated and severity bodily injury and PD claims
- 8+ years of experience with litigation management
- 8+ construction experience handling Bodily Injury and Property Damage OCIP/CCIP wrap up policies
- Currently hold an active adjusters license
- Experience collaborating across work groups ability to develop and maintain strong relationships
- Understands claims adjustment process and possesses the ability to determine scope/exposure for losses
- Understands the use of vendors and how litigation strategies are developed
- Understands and applies financial and actuarial/reserving concepts
- Familiarity with negotiation strategies and experience in suggesting alternative approaches
- Negotiation skills
- Organizational and time management skills
- MS Office
- Customer service experience
- Strong analytical, critical thinking, and problem-solving skills
- Strong verbal and written communication skills.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
- Short term incentive bonuses
- Merit increases
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