Sr. Claims Specialist, Workers Compensation

Full-time - Mid Level

Remote - Topeka, KS

Insurance Carriers and Related Activities

About the position

The Senior Workers' Compensation Claims Specialist at Zurich North America is responsible for managing multi-party commercial line Workers' 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 strong analytical skills, effective communication, and the ability to exercise judgment in determining liability and coverage.

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.
• Juris Doctor and 2 or more years of experience in the Claims and/or Litigation Management area.
• Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/or Litigation Management area.
• Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/or Litigation Management area.
• 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

• 5 or more years of experience handling Workers Compensation claims with high severity and exposure.
• Currently holds an active adjusters license in the state of 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.
• 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.

Benefits

• Competitive compensation package
• Short term incentive bonuses
• Merit increases
• Comprehensive employee benefits package for employees and eligible dependents