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Zurich Insurance - California City, CA

posted 18 days ago

Full-time - Mid Level
Remote - California City, CA
Insurance Carriers and Related Activities

About the position

The Senior Workers Compensation Claims Specialist at Zurich is responsible for managing single and multi-party commercial line Workman's Compensation claims of moderate to high exposure and complexity. This role focuses on ensuring efficient claims handling while delivering a customer-centric service. The position requires exercising judgment in liability determination, policy verification, and coverage determination, as well as developing case strategies for timely resolutions.

Responsibilities

  • Document claims file by accurately capturing and updating claims data/information in compliance with best practices.
  • Exercise judgment to determine liability by gathering and analyzing relevant facts and applicable law.
  • Determine policy verification and coverage by analyzing applicable coverage for claims.
  • Develop case strategy and evaluation for timely resolution of claims, escalating issues as appropriate.
  • Establish timely reserves and perform ongoing review throughout claims cycle within authority limit.
  • Assess damages by calculating applicable damages or range of damages allowed by law.
  • Negotiate settlement of claims 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.

Nice-to-haves

  • Currently holds an active adjusters license in the state of Arizona and/or California.
  • 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.
  • 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.

Benefits

  • Comprehensive employee benefits package for employees and eligible dependents.
  • Competitive compensation including short term incentive bonuses and merit increases.
  • Ongoing career development opportunities.
  • Diversity and inclusion initiatives.
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