Bachelor's degree in a related field or equivalent experience., Strong knowledge of workers' compensation laws and regulations., Excellent analytical and problem-solving skills., Effective communication and negotiation abilities..
Key responsibilities:
Manage and process workers' compensation claims efficiently.
Conduct thorough investigations and gather necessary documentation.
Communicate with clients, medical providers, and legal representatives.
Prepare reports and maintain accurate records of claims activities.
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Zurich North America is one of the largest providers of insurance solutions and services to businesses and individuals. Our customers represent industries ranging from agriculture to construction and include more than 90% of the Fortune 500. We’ve backed the building of some of the most recognizable structures in North America — from the Hoover Dam to Madison Square Garden to the Confederation Bridge. Our North American, LEED Platinum® headquarters is located in the Chicago area. We employ approximately 9,000 people in North America and have offices throughout the U.S. and Canada. Further information is available at www.zurichna.com.Zurich North America is part of Zurich Insurance Group, a leading multi-line insurer that serves its customers in global and local markets. With approximately 55,000 employees, Zurich provides a wide range of property and casualty, and life insurance products and services in more than 215 countries and territories. Zurich’s customers include individuals, small businesses, and mid-sized and large companies, as well as multinational corporations. The Group is headquartered in Zurich, Switzerland, where it was founded in 1872. The holding company, Zurich Insurance Group Ltd (ZURN), is listed on the SIX Swiss Exchange and has a level I American Depositary Receipt (ZURVY) program, which is traded over-the-counter on OTCQX. Further information is available at www.zurich.com. Follow Zurich North America on Instagram: https://www.instagram.comPlease be respectful of all commenters on the site. Any comments that contain vulgar language, name calling, personal attacks or are off topic are not allowed and will be deleted. Also spam and/or advertisements will also be removed. We reserve the right to review and delete any posts or comments, or report users if they violate Zurich North America's Rules of Conduct or LinkedIn's Terms of Service.Zurich North America's Rules of Conduct: https://bit.ly/3Qb9OaW
Zurich is seeking an experienced Workers’ Compensation Claims Specialist to join our team! This will be a hybrid role based out of our Las Vegas, NV office, or remote in the U.S for those with expertise in handling Jurisdiction of NV.
The Sr. Workers’ Compensation Claims Specialist will handle multi-party personal or commercial line Workers’ Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
In this role you will be responsible for:
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 or more years of experience in the Claims and/ or Litigation Management area. OR
Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area. OR
Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area. OR
Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area. OR
High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area. AND
Must obtain and maintain required adjuster license(s)
Microsoft Office experience
Knowledge of insurance regulations, markets and products
Preferred Qualifications:
6+ experience handling high severity Workers Compensation claims
6+ years of experience in litigation management
Must have Jurisdiction expertise handling state of Nevada
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 trend 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
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education.
The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code
1033.
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.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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 - Nevada Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
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