Claims Specialist II

Zurich Insurance Company Ltd.•Maitland, FL

4d•$59,900 - $98,200•Hybrid

About The Position

Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic Workers Compensation team. This is an exciting opportunity to make a meaningful impact by delivering exceptional claims service and applying your expertise within a respected, industry leading organization. We are seeking someone who can collaborate in person at our Maitland, FL office on a hybrid work schedule. If you’re looking to grow your career with a company that values excellence, innovation, and flexibility, we’d love to hear from you. The Workers Compensation Claims Specialist will handle multi-party commercial line Workman’s 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.

Requirements

Bachelor’s Degree and 3 or more years of experience in the Claims and/ or Litigation Management area. OR Zurich Certified Insurance Apprentice, including an Associate Degree with 3 or more years of experience in the Claims and/ or Litigation Management area. OR Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims and/ or Litigation Management area. OR High School Diploma Equivalent and 5 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

Nice To Haves

3+ years of experience handling claims with medium to high severity and exposure
3+ years of Litigation Management experience
Jurisdictional expertise handling claims in FL
Valid adjuster license in FL
Claims handling experience working for a carrier
Effective verbal and written communication skills
Strong analytical, critical thinking, and problem solving skills
Solid time management, prioritization and multi-tasking skills
Experience collaborating in a team environment and building cross functional working relationships
Adept in identifying and explaining complex financial and/or actuarial concepts.
Ability to determine the scope and exposure for moderately complex claims
Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims
Ability to develop and execute a negotiation strategy and plan for resolution
Ability to identify subtleties in customer/client and/or business partner interactions
Ability to present information necessary to propose a claim resolution to stakeholders

Responsibilities

Document claims file by accurately capturing and updating claims data/information in compliance with best practices for 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