Sr. Claims Specialist, Workers Compensation

Zurich Insurance Company Ltd.•Newcastle, OK

3d•$75,800 - $124,100•Hybrid

About The Position

Zurich is seeking an experienced Workers’ Compensation Claims Specialist to join our team! This will be a hybrid role based out of our Las Vegas, NV office, or remote in the U.S for those with expertise in handling Jurisdiction of NV. The Sr. Workers’ Compensation Claims Specialist will handle multi-party personal or 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.

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

Nice To Haves

6+ experience handling high severity Workers Compensation claims
6+ years of experience in litigation management
Must have Jurisdiction expertise handling state of Nevada
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

Responsibilities

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