Zurich North America · 1 day ago
Sr. Claims Specialist (Workers Compensation, NE Region)
Vermont, United States
Full-time
Hybrid
Senior Level
$74K/yr - $122K/yr
6+ years expZurich North America is looking for an accomplished Workers Compensation Sr. Claims Specialist for their Northeast region. This role involves handling multi-party commercial line Workers Compensation claims of moderate to high exposure and complexity, ensuring efficient and customer-centric claims service.
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 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
Preferred
6+ years of experience in the Workers Compensation line of business
6+ years of experience handling litigation management
Specializing in all or a combination of the jurisdictions NJ, VA, PA, DE, DC
EDI filing requirements
MSA/Medicare knowledge
WCCA, WCCP Designations
Knowledge and skill of claims handling
Negotiation experience
Experience in line of business
Excellent communication skills
Analytical skills
DE licensed a plus
Benefits
Short-term incentive bonus eligibility set at 15%
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
2025-12-25
2025-12-24
2025-12-10
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