STD Claims Examiner II making accurate claim decisions for Short Term Disability claims. Collaborating with team members in a hybrid work environment from South Portland, ME.
About the role
- Senior Workers' Compensation Claims Specialist at Zurich North America managing complex, multi-party claims with outstanding customer service. Join a dedicated team in a hybrid work environment in Maitland, Florida.
Responsibilities
- Document claims file by accurately capturing and updating claims data/information
- Exercise judgment 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 within authority limit
- Assess damages by calculating applicable damages or range of damages allowed by law
- Negotiate settlement of claim by establishing appropriate negotiation strategy
- Meet quality standards by following best practices
Requirements
- Bachelor’s degree and 6+ years of experience in Claims and/or Litigation Management
- Juris Doctor with 2+ years of Claims and/or Litigation Management experience
- Zurich Certified Insurance Apprentice, including an Associate Degree with 6+ years of Claims and/or Litigation Management experience
- Completion of Zurich’s Claims Training Program with 6+ years of experience in Claims and/or Litigation Management
- High School Diploma or equivalent with 8+ years of experience in Claims and/or Litigation Management
- Must obtain and maintain required adjuster licenses
- Proficiency in Microsoft Office
- Knowledge of insurance regulations, markets, and products
Benefits
- competitive pay and comprehensive benefits for employees and their families
- bonuses
- merit increases
- hybrid work schedule
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