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Zurich Insurance · 1 day ago

Workers' Compensation Litigated Claims Specialist (IN/IL)

Indianapolis, IN

Full-time

Hybrid

Mid, Senior Level

$59K/yr - $96K/yr

3+ years exp

Zurich North America is seeking a Workers’ Compensation Litigated Claims Specialist II to join their team. This role involves managing litigated workers’ compensation claims across multiple states, ensuring efficient claims handling while delivering a customer-centric service.

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 worker’s compensation claims of moderate to high exposure and complexity

Exercise judgment to determine compensability 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

Litigated Workers Compensation claimsMulti-state claims experienceAdjuster licenseMicrosoft OfficeInsurance regulations knowledgeAnalytical thinkingCommunication skillsProblem-solvingCollaboration skills

Required

Bachelor degree and 3 or more years of experience in the Claims or Insurance area OR

Zurich Certified Insurance Apprentice, including an associate degree with 3 or more years of experience in the Claims or Insurance area. OR

Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area. OR

High School Diploma Equivalent and 5 or more years of experience in the Claims or Insurance area

Must obtain and maintain required adjuster license(s)

Microsoft Office experience

Knowledge of insurance regulations, markets and products

Preferred

5+ years of experience handling Litigated Workers Compensation claims

Professional experience working for an insurance carrier(s)

Experience handling commercial claims

Highly preferred Jurisdictions in the following states: IL, IN and OH

Exceptional verbal and written communication skills, with the ability to clearly convey complex coverage determinations to clients, customers, and brokers

Analytical thinker with strong problem-solving, critical thinking, and financial acumen; skilled in interpreting insurance policies, evaluating exposure, and identifying actuarial trends

Adept at multi-tasking and prioritization in fast-paced environments, with a proactive approach to sharing insights and optimizing outcomes across functions

Proven ability to collaborate across teams, build cross-functional relationships, and leverage diverse perspectives to improve claim outcomes

Experienced in guiding complex litigated claims, including directing counsel, managing litigation strategy, and following best practices for reserving indemnity, medical, and expense components

Benefits

Competitive pay

Comprehensive benefits for employees and their families

Short-term incentive bonus eligibility set at 10%

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