Workers Comp Claims Specialist at National Interstate Insurance managing a large inventory of complex claims and conducting comprehensive investigations. Supporting decision - making processes for coverage and liability determinations while maintaining strong relationships with stakeholders.
About the role
- Bilingual Claims Specialist handling personal lines auto claims based in Montreal, Waterloo, or Calgary. Collaborating with teams to provide customer-centric claims service in a hybrid work environment.
Responsibilities
- Document claims file by accurately capturing and updating claims data/information in compliance with best practices
- Exercise judgement to determine liability by gathering and analyzing relevant facts
- Exercise judgment to determine policy verification and coverage determination
- Work to have a timely resolution to claims by developing case strategy; developing a case evaluation
- Establish timely reserves and perform ongoing review throughout claims cycle
- Assess damages by calculating applicable damages or range of damages allowed by law
- Negotiate settlement of claim by establishing appropriate negotiation strategy
- Ensure customer service by proactively communicating information; responding to inquiries
- Manage expenses by working within vendor approved networks
- Protect Zurich’s reputation by keeping claims information confidential.
Requirements
- Bachelors Degree and 2 or more years of experience in the Claims or Insurance area OR Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area OR High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area OR Completion of Zurich Claims Training Program and 1 or more years of experience in the Claims or Insurance area
- Bilingual in English and French
- Microsoft Office experience
- Knowledge of insurance regulations, markets and products
- Prior experience in auto claims handling, insurance claims, or a related customer service field.
- Understanding of auto insurance policies, coverage, and regulations.
Benefits
- Comprehensive health/benefits plan with varying levels of coverage
- Minimum of four weeks of vacation per year
- Four personal days per year for personal reasons
- Access to a comprehensive range of training and development opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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