Senior Claims Specialist managing high exposure Workers Compensation claims at Zurich North America. Responsible for ensuring prompt and equitable resolutions in Texas and surrounding states.
Responsibilities
Investigate Workers Compensation claims to determine applicable coverage and liability.
Document claim files thoroughly to support payment decisions.
Set appropriate reserves within authority levels and comply with special handling requirements.
Develop and maintain positive customer relationships, anticipating needs, and recommending changes as necessary.
Requirements
Bachelor’s Degree and 6 plus years of experience in Claims and/or Litigation Management OR Juris Doctor and 2+ years of experience in Claims and/or Litigation Management OR Zurich Certified Insurance Apprentice with an Associate Degree and 6 plus years of experience in Claims and/or Litigation Management OR Completion of Zurich Claims Training Program and 6 plus years of experience in Claims and/or Litigation Management OR High School Diploma Equivalent and 8 plus years of experience in Claims and/or Litigation Management
Must obtain and maintain required adjuster license(s)
Proficiency in Microsoft Office
Knowledge of insurance regulations, markets, and products
6+ years of experience handling Worker Compensation claims of high exposure
6+ years of experience with litigation management
Required expertise in handling claims in Texas, with preferred experience in Arkansas and Oklahoma.
Property & Casualty Insurance Experience
Effective verbal and written communication skills
Strong analytical, critical thinking, and problem-solving skills
Strong multitasking and prioritization abilities
Experience collaborating in a team environment and building cross-functional working relationships
Proactive sharing of insights and gathering unique perspectives from other teams/functions
Understanding, analysis, and application of insurance policy components for complex claims
Ability to follow reserving process for indemnity and expense in analyzing potential exposure of complex claims
Ability to determine scope and exposure for complex claims
Leveraging trends and relationships to provide high-quality customer service
Identification, understanding, and explanation of complex financial and/or actuarial trends/concepts
Effective communication of coverage determinations to customers/clients/brokers for complex claims
Directing counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Benefits
competitive pay
comprehensive benefits for employees and their families
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