Workers Compensation Litigated Claims Specialist (IN/IL)

Zurich Insurance

4d • Hybrid

About The Position

Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This is an opportunity to make meaningful impact at a company known for innovation and excellence in the insurance industry. We are hiring in two dynamic locations: Schaumburg, IL (hybrid schedule), Indianapolis, IN (fully remote). We are seeking a candidate with proven expertise in managing litigated workers' compensation claims in the following jurisdictions: Indiana, Illinois, Michigan and/or Ohio. This multi-state experience is essential to effectively support our regional claims operations and drive strong outcomes. In this position you will manage Worker's Compensation multi-party 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.

Requirements

• Bachelor degree and 3 or more years of experience in the Claims or Insurance area
• OR Zurich Certified Insurance Apprentice, including an associate degree with 3 or more years of experience in the Claims or Insurance area.
• OR Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area.
• OR High School Diploma Equivalent and 5 or more years of experience in the Claims or Insurance area.
• AND Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Nice To Haves

• 5+ years of experience handling Litigated Workers Compensation claims
• Professional experience working for an insurance carrier(s)
• Experience handling commercial claims
• Highly preferred Jurisdictions in the following states: IL, IN and OH
• Exceptional verbal and written communication skills, with the ability to clearly convey complex coverage determinations to clients, customers, and brokers.
• Analytical thinker with strong problem-solving, critical thinking, and financial acumen; skilled in interpreting insurance policies, evaluating exposure, and identifying actuarial trends.
• Adept at multi-tasking and prioritization in fast-paced environments, with a proactive approach to sharing insights and optimizing outcomes across functions.
• Proven ability to collaborate across teams, build cross-functional relationships, and leverage diverse perspectives to improve claim outcomes.
• Experienced in guiding complex litigated claims, including directing counsel, managing litigation strategy, and following best practices for reserving indemnity, medical, and expense components.

Responsibilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for worker's compensation claims of moderate to high exposure and complexity.
• Exercise judgment to determine compensability 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

Benefits

• We offer competitive pay and comprehensive benefits for employees and their families.
• At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment—so you can help shape the future of insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees