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Insurance Claims Specialist

2 months ago


Schaumburg, Illinois, United States Zurich Insurance Company Full time
About the Role

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.
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
  • 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.