Zurich NA Senior Claims Specialist or Claims Specialist (Workmen's Comp) - Saint Paul, Minnesota
Zurich North America is seeking an experienced Senior Claims Specialist or Claims Specialist in Workers' Compensation to join our team. While we prefer candidates who can work on a hybrid work schedule out of our Addison, TX, Overland Park, KS or Schaumburg, IL office(s), we are open to considering fully remote applicants located throughout the US.
The Workers Compensation Claims Specialist will handle multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
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.
This role will be filled at either the Senior Litigated Claims Specialist IV or Litigated Claims Specialist II. The hiring manager will determine the appropriate level based upon the selected applicant’s experience and skill set relative to the qualifications listed for this position.
Basic Qualifications:
- Senior Claims Specialist: 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).
- Claims Specialist: Bachelor’s Degree and 3 or more years of experience in the Claims and/or Litigation Management area. OR Zurich Certified Insurance Apprentice, including an Associate Degree with 3 or more years of experience in the Claims and/or Litigation Management area. OR Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims and/or Litigation Management area. OR High School Diploma Equivalent and 5 or more years of experience in the Claims and/or Litigation Management area. AND Must obtain and maintain required adjuster license(s).
Preferred Qualifications:
- 4+ years of experience handling Workers Compensation claims with medium to high severity and exposure.
- 3+ years of Litigation Management experience.
- Work experience handling claims in IL, WI, MN, KS, MO and/or UT.
- 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.
Compensation: The combined salary range for this position is $57,500.00 - $119,200.00. The starting salary range for the Claims Specialist is $57,500.00 - $94,300.00 and for the Senior Claims Specialist is $72,800.00 - $119,200.00.
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.
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. 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.
Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Overland Park, AM - Addison
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
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