Field Claims Specialist investigating and adjusting high exposure Minnesota workers' compensation claims. Collaborating closely with claimants, attorneys, and other vendors while handling settlements and negotiations.
About the role
- Senior Claims Specialist managing high exposure Workers Compensation claims at Zurich North America. Responsible for ensuring prompt and equitable resolutions in Texas and surrounding states.
Responsibilities
- Investigate Workers Compensation claims to determine applicable coverage and liability.
- Document claim files thoroughly to support payment decisions.
- Set appropriate reserves within authority levels and comply with special handling requirements.
- Develop and maintain positive customer relationships, anticipating needs, and recommending changes as necessary.
Requirements
- Bachelor’s Degree and 6 plus years of experience in Claims and/or Litigation Management OR Juris Doctor and 2+ years of experience in Claims and/or Litigation Management OR Zurich Certified Insurance Apprentice with an Associate Degree and 6 plus years of experience in Claims and/or Litigation Management OR Completion of Zurich Claims Training Program and 6 plus years of experience in Claims and/or Litigation Management OR High School Diploma Equivalent and 8 plus years of experience in Claims and/or Litigation Management
- Must obtain and maintain required adjuster license(s)
- Proficiency in Microsoft Office
- Knowledge of insurance regulations, markets, and products
- 6+ years of experience handling Worker Compensation claims of high exposure
- 6+ years of experience with litigation management
- Required expertise in handling claims in Texas, with preferred experience in Arkansas and Oklahoma.
- Property & Casualty Insurance Experience
- Effective verbal and written communication skills
- Strong analytical, critical thinking, and problem-solving skills
- Strong multitasking and prioritization abilities
- Experience collaborating in a team environment and building cross-functional working relationships
- Proactive sharing of insights and gathering unique perspectives from other teams/functions
- Understanding, analysis, and application of insurance policy components for complex claims
- Ability to follow reserving process for indemnity and expense in analyzing potential exposure of complex claims
- Ability to determine scope and exposure for complex claims
- Leveraging trends and relationships to provide high-quality customer service
- Identification, understanding, and explanation of complex financial and/or actuarial trends/concepts
- Effective communication of coverage determinations to customers/clients/brokers for complex claims
- Directing counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Benefits
- competitive pay
- comprehensive benefits for employees and their families
- short-term incentive bonus eligibility set at 15%
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