At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move.
Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable.
While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected.
Zurich is seeking an experienced Workman’s Compensation Sr. Claims Specialist to join our team! This position is located in Maitland, FL on a hybrid work schedule.
In this role you will handle multi-party commercial line Workers 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.
In this role you will be responsible for:
Document 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.Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; 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; escalating issues as appropriate.Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.Assess damages by calculating applicable damages or range of damages allowed by law.Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.Meet quality standards by following best practices Basic Qualifications:
Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.
ORJuris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.
ORZurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
ORCompletion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.
ORHigh School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.
ANDMust obtain and maintain required adjuster license(s)Microsoft Office experienceKnowledge of insurance regulations, markets and products Preferred Qualifications:
Experience in the FLORIDA Work Comp Claims or Litigation Management areaExperience handling other Southern US Work Comp state jurisdictionsEffective verbal and written communication skillsStrong analytical, critical thinking and problem-solving skillsStrong multi-tasking and prioritization skillsExperience collaborating in a team environment and building cross functional working relationshipsProactively shares and promotes sharing of insightsAbility to gather unique perspectives from other teams/functions to optimize outcomes.Understands, analyzes, and applies the component parts of an insurance policy for complex claimsAbility to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claimsAbility to determine the scope and exposure for complex claimsAbility to leverage trend and relationships to provide high-quality customer serviceWell-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 claimsAbility to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled.
The proposed salary range for this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
Zurich in North America is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Location(s): AM - Maitland
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID