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Zurich Insurance Group logo
Zurich Insurance Group

Zurich, also known as Zurich Insurance and Zurich Insurance Group, is a leading provider of multi-line insurance products for customers around the world. Since

Senior Workers' Compensation Claims Specialist

Location

California

Posted

38 days ago

Salary

$83.4K - $136.5K / year

Seniority

Senior

Bachelor Degree6 yrs expExperience acceptedEnglish

Job Description

Senior Workers' Compensation Claims Specialist

Zurich Insurance Group

• 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

Job Requirements

  • Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.
  • Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.
  • Texas Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
  • Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.
  • 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.

Benefits

  • Competitive pay and comprehensive benefits for employees and their families
  • Bonuses
  • Merits increases

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