Senior Claims Specialist

2 weeks ago

Calabasas, California, United States Zurich Insurance Company Ltd. Full time
Job Title: Senior Claims Specialist - Workers Compensation

Zurich North America is seeking an experienced Senior Claims Specialist to join our team. As a Senior Claims Specialist, you will be responsible for handling multi-party commercial line Workers' Compensation claims of moderate to high exposure and complexity.

Key Responsibilities:
  • Document claims files by accurately capturing and updating claims data/information in compliance with best practices.
  • Exercise judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law, and 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, and escalating issues as appropriate.
  • Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits by estimating and validating the value of claims.
  • Assess damages by calculating applicable damages or range of damages allowed by law.
  • Negotiate settlement of claims by establishing an appropriate negotiation strategy and utilizing available tools and resources within authority limits.
Requirements:
  • Bachelor's Degree and 6 or more years of experience in the Claims and/or Litigation Management area.
  • OR Juris Doctor and 2 or more years of experience in the Claims and/or Litigation Management area.
  • OR Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/or Litigation Management area.
  • OR Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/or Litigation Management area.
  • OR 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 Qualifications:
  • 5 or more years of experience handling Workers Compensation claims with high severity and exposure.
  • Currently holds an active adjuster's 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.

Compensation 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 here.

Other rewards may include short-term incentive bonuses and merit increases. Candidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education. The 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.

As an insurance company, Zurich is subject to 18 U.S. Code § 1033. As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time (https://www.zurichna.com/careers/faq).

A future with Zurich. What can go right when you apply at Zurich? Now 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 here to learn more.

As 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 Zurich 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.

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