Claims Specialist II (Workers Compensation)

Claims Specialist II (Workers Compensation)

128797

Zurich North America is looking for an exceptional Senior Workers' Compensation Claims Specialist to join our dynamic and dedicated claims team. This is an exciting opportunity to manage complex, multi-party commercial Workers' Compensation claims with moderate to high exposure and make a meaningful impact through your expertise. In this role, you will ensure claims are handled efficiently while delivering outstanding customer service, showcasing your skills in a challenging and rewarding environment. In this position you will work out of our Maitland, FL office where you'll benefit from a hybrid work schedule and the chance to contribute to Zurich's reputation for excellence.

Key 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

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:

• 6+ years of experience handling high-severity Workers' Compensation claims.
• 6+ years of experience in litigation management.
• Experience handling claims in Florida.
• 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.

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $74,300.00 -$121,700.00, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. Learn more about Total Rewards here .

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .

Join us for a brighter future-for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code 1033.

Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location: Maitland, FL
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No
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