Sr. Claims Specialist; Comp

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Zurich North America is്ദseeking an experienced Workman’s Compensation Senior Claims Specialist to join our team. Candidates must be able to work remotely from California, although we are open to considering applicants from other locations who are currently licensed in California.

• Document the 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 of claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits by estimating and validating the value of claims.
• Assess damages by calculating applicable damages or range of damages allowed by law.
• Negotiate settlement of claims by establishing an appropriate negotiation strategy and utilizing available tools and resources within authority limits.
• Meet quality standards by following best practices.

• Bachelor’s Degree and 6 or more years of experience in the Claims and/or Litigation Management area.
• Jurisdictional Law degree 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.

• بعيد or more years of experience handling high severity Workers Compensation litigated claims.
• Currently holds an active adjusters license in the state of California.
• Effective verbal and written communication skills.
• Strong analytical, critical thinking and problem‑solving skills.
• Strong multi‑tasking and prioritization skills.
• Experience collaborating in a team environment and building cross‑functional working relationships.
• Proactively shares and promotes sharing of insights.
• Ability to gather unique perspectives from other teams/functions to optimize outcomes.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims.
• Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims.
• Ability to determine the scope and exposure for complex claims.
• Ability to leverage trends and relationships to provide high‑quality customer service.
• Well‑versed in identifying, understanding, and explaining complex financial and/or actuarial trends/concepts.
• Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims.
• Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

The proposed salary range for this position is $83,400.00 - $, with short‑term incentive bonus eligibility set at 15%.

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®.

Zurich 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.

Location(s): AM - California Virtual Office, AM - Woodland Hills.
Remote Working:
Hybrid.

Schedule:

Full Time.
Employment Sponsorship Offered:
No.

Seniority level: Associate
Employment type: Full‑time
Job function: General Business
Industries: Insurance and Financial Services