What are the responsibilities and job description for the Sr. Worker's Compensation Specialist position at Zurich Insurance Group?
Zurich North America is looking for a skilled Senior Claims Specialist in Workers' Compensation to join our team. We offer flexible work options, including a fully remote schedule for candidates based in North Carolina, or the possibility of remote work from South Carolina or a hybrid schedule from our Atlanta, GA office. Take the next step in your career with a company that values expertise, growth, and work-life balance.
The Senior Workers' Compensation Claims Specialist will manage multi-party commercial Workers' Compensation claims of moderate to high exposure and complexity, within defined authority limits. This role ensures claims are handled efficiently and effectively, with a strong focus on providing customer-centric service.
In this role, you will be responsible for :
- Documenting claims files by accurately capturing and updating claims data and information, ensuring compliance with best practices for multi-party commercial claims of moderate to high exposure and complexity.
- Exercising sound judgment to determine liability by gathering and analyzing relevant facts, applying applicable law, and establishing basic principles of negligence.
- Conducting policy verification and making coverage determinations by analyzing applicable coverage for claims and assessing if the loss falls within the policy's terms.
- Driving timely claims resolutions by developing case strategies, performing case evaluations, and escalating issues as appropriate.
- Setting and reviewing reserves promptly throughout the claims cycle within authority limits, including estimating and validating claim values.
- Assessing damages by calculating applicable damages or the range permitted by law.
- Negotiating claim settlements by establishing an effective negotiation strategy and using available tools and resources within authority limits.
- Meeting quality standards by adhering to established best practices.
Basic Qualifications :
Preferred Qualifications :
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ().
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 click here to learn more.
As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal : exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability / vet
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 - North Carolina Virt. Office, AM - Atlanta, AM - South Carolina Virt. Office
Remote Working : Yes
Schedule : Full Time
Employment Sponsorship Offered : No
Linkedin Recruiter Tag : #LI-MD1 #LI-ASSOCIATE #LI-REMOTE
