Senior Claims Specialist, Workers Compensation
Zurich Insurance
full-time
Posted on:
Location Type: Hybrid
Location: Connecticut • Maine • United States
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Salary
💰 $75,800 - $124,100 per year
Job Level
About the role
- Handle multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits
- Document claims file by accurately capturing and updating claims data/information
- Exercise judgment to determine liability by gathering and analyzing relevant facts
- Determine policy verification and coverage determination by analyzing applicable coverage for claims
- Develop case strategy and case evaluation to ensure timely resolution to claims
- Establish timely reserves and perform ongoing review throughout claims cycle
- Assess damages and calculate appropriate damages or range allowed by law
- Negotiate settlement of claims and establish appropriate negotiation strategy
- Meet quality standards by following best practices
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
- 6+ years of experience in the Workers Compensation line of business
- 6+ years of experience handling litigation management
- Specializing in the jurisdictions of NY and NJ
- EDI filing requirements
- MSA/Medicare knowledge
- WCCA, WCCP Designations
Benefits
- Competitive pay
- Comprehensive benefits for employees and their families
- Eligibility for bonuses and merit increases
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementliability determinationpolicy verificationcase strategy developmentdamage assessmentsettlement negotiationinsurance regulationslitigation managementWorkers CompensationEDI filing
Soft Skills
judgmentanalytical skillscommunicationnegotiation strategyorganizational skillsattention to detailproblem-solvingtime managementquality standards adherencestrategic thinking
Certifications
adjuster licenseZurich Certified Insurance ApprenticeWCCA designationWCCP designationZurich Claims Training Program