Claims Specialist I, Workers Comp Job at Zurich Insurance
We are currently seeking an individual interested in expanding their insurance career in Workers’ Compensation technical claims handling, while working closely with a team of individuals with varied backgrounds and experiences. This is an opportunity to develop your technical skill set in policy interpretation and coverage analysis. In this role, you will be expected to collaborate and develop partnerships with internal and external points of contact including customers, vendors, suppliers and brokers to provide a quality claims experience.In this role you will handle single and multi-party personal or commercial line 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.
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. The candidate selected for this opportunity should be able to report into [one of] the following North American Claims office[s]:
- Rancho Cordova, CA
- Woodland Hills, CA
Your Day to Day:
- 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 2 or more years of experience in the Claims Handling or Insurance area
OR - 1 or more years in the Zurich North America Claims Foundational Training Program
OR - Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of experience in the Claims Handling or Insurance area
OR - High School Diploma or Equivalent and 4 or more years of experience in the Claims Handling or Insurance area
OR - Juris Doctor and 1 or more years of experience in the Claims Handling or Insurance area
AND - Must obtain and maintain required adjuster license(s)
- Customer service experience
Preferred Qualifications:
- Analytical skills
- Negotiation skills
- Strong verbal and written communication skills
- Experience collaborating across work groups
- Organization skills and time management skills
- Microsoft Office experience
- Experience with Xm8, Xactimate, Xact or Xactanalysis
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.
Location(s): AM - Rancho Cordova, AM - Woodland Hills
Remote Working: Hybrid
Schedule: Full Time
Linkedin Recruiter Tag: #LI-MM1 #LI-ASSOCIATE
Remote Working: Hybrid
Schedule: Full Time
Linkedin Recruiter Tag: #LI-MM1 #LI-ASSOCIATE
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