Zurich North America · 1 day ago
Sr. Claims Specialist (Work Comp)
Los Angeles, CA
Full-time
Hybrid
Mid, Senior Level
$83K/yr - $137K/yr
6+ years expZurich North America is seeking an experienced Workman’s Compensation Sr. Claims Specialist to join their team. The role involves handling single and multi-party commercial line Workman’s Compensation claims, ensuring efficient and effective claims service while delivering a customer-centric approach.
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 or more years of experience handling high severity Workers Compensation litigated claims
Currently holds an active adjusters license in the state of California
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
Benefits
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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