Zurich North America
Sr. Claims Specialist (Workers Compensation, NE Region)
Zurich North America, Boston, Massachusetts, us, 02298
Sr. Claims Specialist (Workers Compensation, NE Region)
Join to apply for the
Sr. Claims Specialist (Workers Compensation, NE Region)
role at
Zurich North America Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for our Northeast region. This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in the following states: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workmans 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. 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.
Basic Qualifications
Bachelors 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. Zurich 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.
Preferred Qualifications
6+ years of experience in the Workers Compensation line of business. 6+ years of experience handling litigation management. Specializing in all or a combination of the jurisdictions NJ, VA, PA, DE, DC. EDI filing requirements. MSA/Medicare knowledge. WCCA, WCCP Designations. Knowledge and skill of claims handling. Negotiation experience.
Experience in line of business. Excellent communication skills. Analytical skills. DE licensed a plus.
Compensation
The proposed Salary range for this position is $74,300.00 $121,700.00, with short-term incentive bonus eligibility set at 15%. We offer competitive pay and comprehensive benefits for employees and their families. Learn more about Total Rewards here. Why Zurich?
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environmentso you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500. Join us for a brighter futurefor yourself and our customers. Equal Opportunity
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code ?1033. Note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location & Work Arrangement
Location(s): AM Parsippany, AM Boston, AM Connecticut Virtual Office, AM Delaware Virtual Office, AM Maine Virtual Office, AM Massachusetts Virt. Office, AM New Hampshire Virt. Office, AM New Jersey Virtual Office, AM New York Virtual Office, AM Pennsylvania Virtual Office, AM Rhode Island Virtual Office, AM Vermont Virtual Office. Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Seniority Level
Associate Employment Type
Full-time Job Function
General Business Industries
Insurance and Financial Services #J-18808-Ljbffr
Join to apply for the
Sr. Claims Specialist (Workers Compensation, NE Region)
role at
Zurich North America Zurich is looking for an accomplished Workers Compensation Sr. Claims Specialist for our Northeast region. This position offers a hybrid work schedule from our Parsippany or Boston offices, or a fully remote setup based in the following states: Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workmans 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. 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.
Basic Qualifications
Bachelors 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. Zurich 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.
Preferred Qualifications
6+ years of experience in the Workers Compensation line of business. 6+ years of experience handling litigation management. Specializing in all or a combination of the jurisdictions NJ, VA, PA, DE, DC. EDI filing requirements. MSA/Medicare knowledge. WCCA, WCCP Designations. Knowledge and skill of claims handling. Negotiation experience.
Experience in line of business. Excellent communication skills. Analytical skills. DE licensed a plus.
Compensation
The proposed Salary range for this position is $74,300.00 $121,700.00, with short-term incentive bonus eligibility set at 15%. We offer competitive pay and comprehensive benefits for employees and their families. Learn more about Total Rewards here. Why Zurich?
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environmentso you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500. Join us for a brighter futurefor yourself and our customers. Equal Opportunity
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code ?1033. Note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location & Work Arrangement
Location(s): AM Parsippany, AM Boston, AM Connecticut Virtual Office, AM Delaware Virtual Office, AM Maine Virtual Office, AM Massachusetts Virt. Office, AM New Hampshire Virt. Office, AM New Jersey Virtual Office, AM New York Virtual Office, AM Pennsylvania Virtual Office, AM Rhode Island Virtual Office, AM Vermont Virtual Office. Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Seniority Level
Associate Employment Type
Full-time Job Function
General Business Industries
Insurance and Financial Services #J-18808-Ljbffr