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Insurance Claims Specialist
2 months ago
Zurich Insurance Company is seeking a highly skilled Commercial Property Claims Adjuster to join our team. As a key member of our claims department, you will be responsible for handling complex claims with 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 claim by establishing an appropriate negotiation strategy and utilizing available tools and resources within authority limits.
- Meet quality standards by following best practices.
- 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.
- 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.