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Zurich Insurance · 1 month ago

Sr. Claims Specialist (Workers Compensation, NE Region)

Middlesex County, NJ

Full-time

Hybrid

Mid, Senior Level

$74K/yr - $122K/yr

6+ years exp

Zurich Insurance is seeking a Senior Claims Specialist specializing in Workers Compensation for their Northeast region. This role involves handling multi-party commercial line Workman’s Compensation claims while ensuring efficient and customer-centric service delivery.

Financial ServicesInsuranceProductivity Tools

Comp. & Benefits

No H1B

Responsibilities

Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity

Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence

Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage

Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate

Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims

Assess damages by calculating applicable damages or range of damages allowed by law

Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits

Meet quality standards by following best practices

Qualification

Claims ManagementLitigation ManagementWorkers CompensationAdjuster LicenseInsurance RegulationsNegotiationMicrosoft OfficeAnalytical SkillsCommunication Skills

Required

Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area

Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area

Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area

Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area

High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area

Must obtain and maintain required adjuster license(s)

Microsoft Office experience

Knowledge of insurance regulations, markets and products

Preferred

6+ years of experience in the Workers Compensation line of business

6+ years of experience handling litigation management

Specializing in all or a combination of the jurisdictions NJ, VA, PA, DE, DC

EDI filing requirements

MSA/Medicare knowledge

WCCA, WCCP Designations

Knowledge and skill of claims handling

Negotiation experience

Experience in line of business

Excellent communication skills

Analytical skills

DE licensed a plus

Benefits

Competitive pay

Comprehensive benefits for employees and their families

Short-term incentive bonus eligibility set at 15%

Company

Zurich Insurance

Glassdoor4.2

Zurich Insurance Group (Zurich) is a leading global multi-line insurer founded more than 150 years ago, which has grown into a business serving more than 75 million customers in more than 200 countries and territories, while delivering industry-leading total shareholder returns.

Founded in 1872

Zürich, Zurich, CHE

10001+ employees