Zurich North America · 23 hours ago
Sr. Claims Specialist(Workers Compensation)
Maitland, FL
Full-time
Hybrid
Mid, Senior Level
$74K/yr - $122K/yr
6+ years expZurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join their dynamic and dedicated claims team. This role involves managing complex, multi-party commercial Workers' Compensation claims while delivering outstanding customer service and ensuring efficient claims handling.
CommercialFinancial ServicesInsurance
No H1B
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
Qualification
Required
Bachelor's degree and 6+ years of experience in Claims and/or Litigation Management
Juris Doctor with 2+ years of Claims and/or Litigation Management experience
Zurich Certified Insurance Apprentice, including an Associate Degree with 6+ years of Claims and/or Litigation Management experience
Completion of Zurich's Claims Training Program with 6+ years of experience in Claims and/or Litigation Management
High School Diploma or equivalent with 8+ years of experience in Claims and/or Litigation Management
Must obtain and maintain required adjuster licenses
Proficiency in Microsoft Office
Knowledge of insurance regulations, markets, and products
Preferred
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
Benefits
Short-term incentive bonus eligibility set at 10%
Competitive pay and comprehensive benefits for employees and their families
Company
Zurich North America
Zurich American Insurance is an international commercial property-casualty insurance provider. It is a sub-organization of Zurich Insurance Group.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
James Bracken
Chief Financial Officer
Ann Chai
Chief Risk Officer
Recent News
2026-01-06
2026-01-06
2025-12-25
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