Complex Claims Adjuster

4 days ago

Stevens Point, United States Zurich Insurance Company Ltd. Full time

Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel insurance plans and assistance services as well as a network of experienced providers. With global service centers placed strategically around the globe, our 24/7 multilingual team is always just a phone call away and ready to assist when our customers experience travel issues – from lost luggage or minor travel inconveniences to medical emergencies or life-threatening events. We help customers recover from travel disruptions and enjoy their journeys knowing Travel Guard has their back every step of the way.

 

If you’re interested in becoming part of this exciting and growing team, we would love to hear from you

 

 

Zurich North America is seeking a Complex Claims Adjuster to join our Group in North American, Stevens Point, WI.

 

How you will create an impact

The role of a Complex Adjuster is to handle claims of varying degrees of complexity with all travel insurance benefits.  Claim processing will related to benefits including but not limite to:  Mid to high exposure Trip Cancelations, Travel Post Departure events (trip interruption, trip delay, medical, travel inconvenience), baggage/personal effects losses and emergency assistance cases in real time.  As a Complex Claims Adjuster you will conduct accurate and thorough documentation review, investigation when necessary, and document your resolution action plans based upon the applicable law, coverage and supporting evidence.  This position will also provides on-going communication to the appropriate stake holders through the life of the claim.  This role involves claims in which real time decisions are required and frequent conversations with insureds in critical situations.

 

State Licensing is a requirement of this position.  Complex Claims Adjusters are expected to obtain required state specific licenses within the designated time frame of when the business initiates the process and are required to maintain all licenses in good standing at all times.

 

What Express Claims Adjuster is responisable for:

  • Maintains high standards of customer service. This includes prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in -accordance with regulatory and company standards.
  • Conducts a thorough investigation of coverage, liability, and damages. Must document facts and maintain evidence to support claim resolution.
  • Comply with all statutory and regulatory requirements in all applicable jurisdictions.
  • Establish appropriate loss and expense reserves with documented rationale.  On-going review of reserves required through life of file.
  • Demonstrate technical efficiency through timely, consistent execution of best claim handling practices and claim handling guidelines.
  • Communicates effectively both verbally and in writing with internal and external customers. 
  • Maintain and manage diary system to effectively manage pending claims inventory.
  • Proficiency in Desk Management, time management and dealing with difficult customers.

 

Basic Qualifications:

  • High school diploma or equivalent and 2+ years claims handling

 

Preferred Qualifications:

  • Claims experience in bodily injury preferred but not required
  • State specific adjuster licensing is required and must be obtained within two (2) months of the business initiating the licensing process.
  • Strong time management with the ability to prioritize work in a fast-paced environment.
  • Excellent verbal and written communication skills with an ability to handle escalated insureds.
  • Proficiency in Microsoft Office.

 

You are joining us at a pivotal time in our business. With the recent acquisition of AIG’s global personal travel insurance business, Travel Guard, we have become a leading travel insurance and assistance provider globally, serving over 20 million customers annually and maintaining long-term relationships with more than 200 distribution partners.

 

We’re for travelers and for traveling, but we want to offer much more beyond travel insurance and assistance – we want to ‘cover more’.

 

Zurich Cover More recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet 

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