Job Description:

Senior Claims Specialist - Workers' Compensation

Zurich North America

Location: Maryland (Fully Remote)

About Us:

Zurich North America is a leading provider of insurance solutions, committed to delivering exceptional service and innovative coverage to businesses and individuals. We are looking for a skilled Senior Workers' Compensation Claims Specialist to join our dedicated claims team, where you'll handle complex claims and make a direct impact on client outcomes.

Position Summary:

As a Senior Workers' Compensation Claims Specialist, you will manage multi-party commercial Workers' Compensation claims with moderate to high exposure and complexity, ensuring claims are processed efficiently and with a focus on customer service. This is a fully remote position available to candidates based in Maryland.

Key Responsibilities:

• Accurately document and update claims information for commercial Workers' Compensation claims, ensuring compliance with best practices.


• Exercise sound judgment in determining liability, gathering, and analyzing relevant facts, and applying applicable laws.


• Verify coverage and determine whether claims fall within policy terms.


• Develop strategies for timely claim resolution, performing case evaluations, and escalating complex issues as necessary.


• Establish reserves and continuously review claim value throughout the lifecycle, within your authority limit.


• Assess damages by calculating the appropriate range of compensation allowed by law.


• Negotiate settlements, developing appropriate strategies and utilizing available tools, within your authority limits.


• Maintain quality standards and ensure best practices are followed in all claims handling processes.

Basic Qualifications:

• Bachelor's degree and 6+ years of experience in Claims and/or Litigation Management.
  
  OR


• Juris Doctor with 2+ years of Claims and/or Litigation Management experience.
  
  OR


• Zurich Certified Insurance Apprentice, including an Associate Degree with 6+ years of Claims and/or Litigation Management experience.
  
  OR


• Completion of Zurich's Claims Training Program with 6+ years of experience in Claims and/or Litigation Management.
  
  OR


• High School Diploma or equivalent with 8+ years of experience in Claims and/or Litigation Management.
  
  AND


• Must obtain and maintain required adjuster licenses.


• Proficiency in Microsoft Office.


• Knowledge of insurance regulations, markets, and products.

Preferred Qualifications:

• 4+ years of experience handling high-severity Workers' Compensation claims.


• 3+ years of experience in litigation management.


• Experience with claims in Maryland.


• Effective verbal and written communication skills.


• Strong analytical, critical thinking, and problem-solving abilities.


• Ability to multi-task and prioritize effectively.


• Experience collaborating in a team environment and building cross-functional relationships.


• Proactive in sharing insights and gathering diverse perspectives to optimize outcomes.


• Strong understanding of insurance policies and ability to apply this knowledge to complex claims.


• Expertise in managing complex litigation and settlement strategies.


• Ability to provide high-quality customer service through trend analysis and relationship management.


• Skilled in explaining complex financial and actuarial trends.

Benefits:

• Competitive salary and comprehensive benefits package.


• Hybrid work environment, offering flexibility.


• Opportunities for professional development and career growth.

As an insurance company, Zurich is subject to 18 U.S. Code § 1033.

As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time (https://www.zurichna.com/careers/faq).

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers' expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Maryland Virtual Office

Remote Working: Yes

Schedule: Full Time

Employment Sponsorship Offered: No



Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-REMOTE

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