Workmans Compensation Sr. Claims Specialist

1 week ago


Woodland Hills, United States Zurich Insurance Company Ltd. Full time

pspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifZurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team We are specifically seeking candidates who can work remotely from California. However, we are open to considering applicants from other locations if they are currently licensed in the state of California./span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifThe Senior Workers Compensation Claims Specialist will handle single and multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service./span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifIn this role you will be responsible for:/span/span/pp /pullispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifDocument 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./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifExercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifExercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifWork to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifEstablish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAssess damages by calculating applicable damages or range of damages allowed by law./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifNegotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifMeet quality standards by following best practices/span/span/li/ulp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifBasic Qualifications:/span/span/pp /pullispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifBachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.brOR/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifJuris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.brOR/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifZurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.brOR/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifCompletion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.brOR/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifHigh School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.brAND/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifMust obtain and maintain required adjuster license(s)/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifMicrosoft Office experience/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifKnowledge of insurance regulations, markets and products/span/span/li/ulp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifPreferred Qualifications:/span/span/pp /pullispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifCurrently holds an active adjusters license in the state of Arizona/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifEffective verbal and written communication skills/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifStrong analytical, critical thinking and problem-solving skills/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifStrong multi-tasking and prioritization skills/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifExperience collaborating in a team environment and building cross functional working relationships/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifProactively shares and promotes sharing of insights/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to gather unique perspectives from other teams/functions to optimize outcomes./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifUnderstands, analyzes, and applies the component parts of an insurance policy for complex claims/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to determine the scope and exposure for complex claims/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to leverage trend and relationships to provide high-quality customer service/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifWell-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts./span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to effectively communicate coverage determinations to customers/clients/brokers for complex claims/span/span/lilispan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAbility to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies/span/span/li/ulp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifCompensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. As required by local law, Zurich provides in good faith a reasonable range of compensation for roles. For additional information about our Total Rewards, click ahere/a. Other rewards may include short term incentive bonuses and merit increases. bCandidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education. /bThe salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the location where the position may be filled. The starting salary range for this position is $72,800.00 - $119,200.00./span/span/pdiv/divpspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serif brAs a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time (a href=https://www.zurichna.com/careers/faq target=_blankhttps://www.zurichna.com/careers/faq/a)./span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifA future with Zurich. What can go right when you apply at Zurich?/span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifNow is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click a href=https://www.zurichna.com/careershere/a to learn more./span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifAs a global company, Zurich 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 /span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifZurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. /span/span/pp /ppspan style=font-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifLocation(s): AM - Woodland Hills, AM - Sacramento, AM - California Virtual OfficebrRemote Working: YesbrSchedule: Full TimebrEmployment Sponsorship Offered: No br brspan style=color:#ffffffLinkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID /span/span/span/p



  • Woodland Hills, California, United States State Farm Mutual Automobile Insurance Company Full time

    About the RoleWe are seeking a highly skilled Property Claims Specialist to join our team at State Farm Mutual Automobile Insurance Company. As a Property Claims Specialist, you will be responsible for handling accidental and weather-related homeowners, commercial, and large loss claims.Key ResponsibilitiesMeet with insureds to explain coverage and estimate...


  • Woodland Hills, California, United States Baldwin Risk Partners Full time

    Job Summary:We are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Baldwin Risk Partners. As a key member of our insurance team, you will be responsible for providing exceptional customer service to our clients, ensuring their insurance needs are met with accuracy and efficiency.Key Responsibilities:Customer...


  • Parsippany-Troy Hills, United States Zurich Insurance Company Full time

    Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park, Owings Mills, Parippany, Rancho Cordova, Rocky Hill, or Woodland Hills. If you are ready for a career move, consider working for a company with a global footprint that offers terrific...


  • West Hills, United States SF Staffing Solutions Full time

    JOB SUMMARY: The qualified individual will develop and administer company-approved employee health programs as assigned by the Manager, EHS, follows-up employee workplace injuries/exposures at the direction of management, and maintains accurate records of all associated matters. The qualified individual will participate in new employee orientation programs...


  • Woodland, United States Clark Pacific Full time

    The EHS/Workers' Compensation Administrator supports the EHS Department in a variety of administrative functions, including but not limited to document control flow, workers' compensation (WC) and auto claims, tracking, reporting, and supporting EHS and Risk Management-related data and systems to varying levels of the enterprise. They are responsible for...


  • Beverly Hills, California, United States BD&J Full time

    BD&J, a premier personal injury law firm, is on the lookout for a meticulous and dedicated Claims Specialist to enhance our team. With a proven track record of securing over $1.5 billion for our clients, we take pride in the trust and experience we offer.Key Responsibilities:Collaborate closely with the firm's managing partner on personal injury claims from...


  • Beverly Hills, California, United States BD&J Full time

    At BD&J, a premier personal injury law firm, we are on the lookout for a meticulous and dedicated Claims Specialist in Personal Injury to enhance our dynamic team. Our firm has successfully secured over $1.5 billion for our clients, establishing a reputation built on trust and expertise.Key Responsibilities:Collaborate closely with the firm's managing...


  • Spring Hills, Texas, United States Woodforest National Bank Full time

    Position Title: Dispute Specialist IOverview:Take the next step in your professional journey with Woodforest National Bank, a leader in the banking industry known for its commitment to community service and employee ownership.As a Dispute Specialist I, you will play a crucial role in investigating and managing debit card and ACH dispute claims, as well as...


  • Spring Hills, Texas, United States Woodforest National Bank Full time

    Position Title: Dispute Specialist IOverview:Embark on a rewarding career path with a well-established and inclusive financial institution that is recognized nationally for its excellence. Woodforest National Bank, a privately owned entity, prides itself on being employee-owned, with a significant portion of ownership held through our Employee Stock...


  • Spring Hills, Texas, United States Woodforest National Bank Full time

    Position Title: Dispute Specialist IOverview:Embark on a rewarding career path with a prominent and employee-owned financial institution that prioritizes community engagement and customer satisfaction. At Woodforest National Bank, we pride ourselves on our commitment to diversity and inclusion, fostering a workplace that reflects the communities we...


  • Seven Hills, Ohio, United States Sedgwick Full time

    Join Our Team at SedgwickAt Sedgwick, we prioritize the well-being of our colleagues, fostering a culture that emphasizes care and support. Our commitment to you includes flexibility and the opportunity to balance your professional and personal life effectively.About the Role:As a Claims Recovery Specialist, you will play a crucial role in managing...


  • El Dorado Hills, California, United States Sedgwick Full time

    Join Our Team as a Claims Support SpecialistAt Sedgwick, we prioritize the well-being of our employees, fostering a culture that values care and support. A career with us means you will have the flexibility to balance your professional and personal life while making a meaningful impact every day. We are committed to supporting your mental, physical,...


  • Spring Hills, Texas, United States Woodforest National Bank Full time

    Position Title: Dispute Specialist IOverview:As a key member of our esteemed financial institution, you will play a vital role in managing and resolving customer disputes related to debit card and ACH transactions. Your expertise will contribute to maintaining our reputation as a trusted banking partner.About Woodforest National Bank:Woodforest National Bank...


  • North Richland Hills, Texas, United States Federated Mutual Insurance Company Full time

    About Federated Mutual Insurance Company:At Federated, we are dedicated to transformative work that prioritizes our clients' achievements. Our employees enjoy significant opportunities for professional advancement, with over 95% expressing confidence in our company's promising future. We strive to enhance lives and seek individuals who are passionate about...


  • Manhasset Hills, New York, United States Fusion Dynamics Full time

    About the Role:Fusion Dynamics is seeking a highly organized and detail-oriented Claims Management Clerk to join our team. As a Claims Management Clerk, you will be responsible for processing accident claims, reviewing damage calculations, and communicating with insurance companies and colleagues.Key Responsibilities:Process accident claims from start to...

  • Account Manager

    2 weeks ago


    Woodland, United States FutureRecruit Full time

    Account Manager (Workers' Compensation) - Full-timeLocation: Woodland Hills, CA Required Qualifications: Minimum of 5 years of experience in a similar role with a focus on workers' compensation insurance. In-depth understanding of workers' compensation insurance products, regulations, and industry trends. Proven ability to foster and maintain strong client...


  • Rochester Hills, United States TEKsystems Full time

    Description: • Process daily tasks assigned from the billing software system. • Enter and process data related to patient care and reimbursement. • Check to ensure all patient documents are on file and completed correctly. • Connect with insurance payors by telephone or online regarding non-payment or short payment on outstanding claims. Respond...


  • Rochester Hills, United States TEKsystems Full time

    *Description:* *Process daily tasks assigned from the billing software system. *Enter and process data related to patient care and reimbursement. *Check to ensure all patient documents are on file and completed correctly. *Connect with insurance payors by telephone or online regarding non-payment or short payment on outstanding claims. Respond to insurance...


  • Woodland, California, United States Clark Pacific Full time

    Job SummaryThe EHS/Workers' Compensation Administrator supports the EHS Department in a variety of administrative functions, including but not limited to document control flow, workers' compensation (WC) and auto claims, tracking, reporting, and supporting EHS and Risk Management-related data and systems to varying levels of the enterprise.Key...


  • Arden Hills, Minnesota, United States Boston Scientific Full time

    Recruiter: Spencer Gregory HaleSr. Regulatory Specialist - Electrophysiology Pulsed Field AblationAt Boston Scientific, you'll discover a place where you can have meaningful purpose, improving lives through your life's work. In Rhythm Management (RM) we offer solutions for treating irregular heart rhythms and heart failure and protecting against sudden...