Senior Complex Claims Specialist at Hiscox optimizing claims handling and strategies for Construction Defect and Property Damage. Collaborating with legal teams and ensuring effective claims resolution processes.
About the role
- Senior Claims Specialist handling personal lines auto claims in a hybrid work environment at Zurich Canada. Engaging in efficient claims service with a customer's perspective in mind.
Responsibilities
- Document claims file by accurately capturing and updating claims data/information
- 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
- Establish timely reserves and perform ongoing review throughout claims cycle
- Assess damages by calculating applicable damages
- Negotiate settlement of claim by establishing appropriate negotiation strategy
- Meet quality standards by following best practices
- Ensure customer service by proactively communicating information
- Manage expenses by working within vendor approved networks
- Ensure legal compliance by following state and federal laws and regulations
- Refer claim to subrogation and fraud teams
- Contribute to profitable growth by providing risk insight
- Protect Zurich’s reputation by keeping claims information confidential
- Maintain professional and technical knowledge
Requirements
- Bachelor’s Degree and 3 or more years of experience in the Claims or Insurance area
- OR Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area
- OR Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance area
- OR High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area
- Knowledge of insurance regulations, markets, and products
- Microsoft Office experience
- Bilingual in English and French is an asset.
Benefits
- Comprehensive health/benefits plan with varying levels of coverage
- A minimum of four weeks of vacation per year
- Four personal days per year to be used at discretion
- Training and development opportunities
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