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Zurich Insurance · 1 month ago

Sr. Claims Specialist(Workers Compensation)

Maitland, FL

Full-time

Hybrid

Mid, Senior Level

$74K/yr - $122K/yr

6+ years exp

Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join their dynamic claims team. In this role, you will manage complex commercial Workers' Compensation claims while ensuring efficient handling and outstanding customer service in a hybrid work environment.

Financial ServicesInsuranceProductivity Tools

Comp. & Benefits

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

Claims ManagementLitigation ManagementWorkers' CompensationInsurance RegulationsMicrosoft OfficeAnalytical SkillsVerbal CommunicationWritten CommunicationProblem-SolvingTeam Collaboration

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 Insurance

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Zurich Insurance Group (Zurich) is a leading global multi-line insurer founded more than 150 years ago, which has grown into a business serving more than 75 million customers in more than 200 countries and territories, while delivering industry-leading total shareholder returns.

Founded in 1872

Zürich, Zurich, CHE

10001+ employees