Sr. Worker's Compensation Specialist

Sr. Worker's Compensation Specialist

120042

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 :

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.AND

Must obtain and maintain required adjuster license(s)

Microsoft Office experience

Knowledge of insurance regulations, markets and products

Preferred Qualifications :

8 years of experience handling Workers Compensation claims with high severity and exposure.

8 years of experience in Litigation Management.

Experience handling claims in North Carolina

Effective verbal and written communication skills.

Strong analytical, critical thinking and problem-solving skills.

Strong multi-tasking and prioritization skills.

Experience collaborating in a team environment and building cross functional working relationships.

Proactively shares and promotes sharing of insights.

Ability to gather unique perspectives from other teams / functions to optimize outcomes.

Understands, analyzes, and applies the component parts of an insurance policy for complex claims.

Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims.

Ability to determine the scope and exposure for complex claims.

Ability to leverage trend and relationships to provide high-quality customer service.

Well-versed in identifying, understanding and explaining complex financial and / or actuarial trends / concepts.

Ability to effectively communicate coverage determinations to customers / clients / brokers for complex claims.

Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

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 clickhere () 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