Sr. Claims Specialist, Workman's Compensation

119391

Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join our dynamic and dedicated claims team. This is an exciting opportunity to manage complex, multi-party commercial Workers' Compensation claims with moderate to high exposure and make a meaningful impact through your expertise. In this role, you will ensure claims are handled efficiently while delivering outstanding customer service, showcasing your skills in a challenging and rewarding environment. In this position you will work out of our Maitland, FL office where you'll benefit from a hybrid work schedule and the chance to contribute to Zurich's reputation for excellence.

Key Responsibilities

• 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 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

• Bachelor’s degree and 6 years of experience in Claims and/or Litigation Management. OR
• Juris Doctor with 2 years of Claims and/or Litigation Management experience. OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 6 years of Claims and/or Litigation Management experience. OR
• Completion of Zurich’s Claims Training Program with 6 years of experience in Claims and/or Litigation Management. OR
• High School Diploma or equivalent with 8 years of experience in Claims and/or Litigation Management. AND
• Must obtain and maintain required adjuster licenses.
• Proficiency in Microsoft Office.
• Knowledge of insurance regulations, markets, and products.
  
  

Preferred Qualifications

• 6 years of experience handling high-severity Workers' Compensation claims.
• 6 years of experience in litigation management.
• Experience handling claims in Florida.
• Effective verbal and written communication skills.
• Strong analytical, critical thinking, and problem-solving abilities.
• Ability to multi-task and prioritize effectively.
• Experience collaborating in a team environment and building cross-functional relationships.
• Proactive in sharing insights and gathering diverse perspectives to optimize outcomes.
• Strong understanding of insurance policies and ability to apply this knowledge to complex claims.
• Expertise in managing complex litigation and settlement strategies.
• Ability to provide high-quality customer service through trend analysis and relationship management.
• Skilled in explaining complex financial and actuarial trends.
  
  

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 (https://www.zurichna.com/careers/faq).

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 - Maitland

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

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Nearest Major Market: Orlando