Claims Specialist I, Workers Compensation

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Claims Specialist I, Workers Compensation

121717

Zurich is seeking an experienced Workers' Compensation Claims Specialist to join our team. We are looking for candidates who are able to report into the following North American Claims office(s) on a hybrid work schedule: Maitland, FL ; Atlanta, GA; Addison, TX; Schaumburg, IL; Rocky Hill, CT; Parsippany, NJ; Overland Park, KS or Gold River, CA.

The Workers Compensation Claims Specialist will handle multi-party commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

In This Role You Will Be Responsible For

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for multi-party 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
  
  

Basic Qualifications

• Bachelors Degree and 2 or more years of experience in the Claims or Insurance areaOR
• Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance areaOR
• High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance areaOR
• Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance areaAND
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products
  
  

Preferred Qualifications

• Valid Self-Insured (SIL) License
• 2 years of experience in Workers' Compensation claims handling
• Customer service experience
• Strong analytical, critical thinking and problem-solving skills
• Strong verbal and written communication skills
• Experience collaborating across work groups Ability to develop and maintain strong relationships
• Understands claims adjustment process and possesses 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
  
  

At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (https://www.zurichna.com/careers/benefits) . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply, as they will be considered based on their experience, skills, and education. The salary indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary rangefor this position is $48,600.00 - $79,500.00with short-term incentive bonus eligibility set at 10%.

As an insurance company, Zurich is subject to 18 U.S. Code

• 1033.
  
  

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (https://www.zurichna.com/careers) to learn more.

Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Maitland, AM - Addison, AM - Atlanta, AM - Gold River, AM - Overland Park, AM - Parsippany, AM - Rocky Hill, AM - Schaumburg

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag

EOE Disability / Veterans