Claims Specialist handling Workers Compensation claims for Zurich North America. Responsible for managing complex claims, ensuring efficient resolution and customer-centric service.
Responsibilities
Handle single and multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits
Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims
Exercise judgment to determine liability by gathering and analyzing relevant facts and applicable law
Work to have a timely resolution to claims by developing case strategy and escalating issues as appropriate
Establish timely reserves and perform ongoing review throughout claims cycle
Assess damages by calculating applicable damages or range of damages allowed by law
Negotiate settlement of claim by establishing appropriate negotiation strategy within authority limits
Meet quality standards by following best practices
Requirements
Bachelor’s Degree and 6 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
OR High School Diploma Equivalent and 8 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
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