Zurich NA Hiring for Sr. Claims Specialist – Complex Claims at Rancho Cordova, California Full Time

Sr. Claims Specialist – Complex Claims

84690

Your work 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, we have over 148 years of experience, serve more than 25 industries, and insure 90% of the Fortune 500®. Zurich strives to provide ongoing career development opportunities so you can reach your full potential and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. With the support of people like you, we are optimistic about leading the next evolution of the insurance industry. Join us in building a brighter future for our people, our customers and the communities we serve.

Zurich is currently looking for a Sr. Claims Specialist – Complex Claims

This position may work out of one of the following North American offices: PreferablySchaumburg, but open for the following locations Omaha, Las Vegas, Albuquerque, Anoka, Atlanta, Woodland Hills, Rocky Hill, Addison, Overland Park, Maitland, New York City, Rancho Cordova, Owings Mills, Boston, Parsippany, Houston, Melville, Seattle

This position requires management of the highest exposure auto and general liability excess claims and litigation involving bodily injury, property damage, personal injury and advertising injury. The Claims Specialist is responsible for proactively managing claims and litigation effectively in accordance with our Best Practices while delivering outstanding customer service. The position requires regular communication with customers, brokers, our Business Units and senior Claims management. The ideal candidate will have experience managing and resolving high severity injury claims and litigation in multiple jurisdictions, proven skills in litigation management, time management and caseload management, and must be able to document claim files by accurately capturing and updating claims data/information in compliance with best practices. For this Senior level position, candidates must have experience handling claims on umbrella and excess liability policies.

Additional responsibilities will include:

• Update claims file by accurately capturing and updating claims data/information in compliance with best practices for personal or commercial claim assignments reflecting the highest degree of technical complexity and exposure

• Use judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law and establishing basic principles of negligence

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

• Ensure a timely resolution to claims by developing case strategy, developing a case evaluation and 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

• Ensure customer service by proactively communicating information, responding to inquiries following customer service protocols

• Manage litigation by assigning counsel within the approved panel where applicable, establishing litigation plan and budget, coordinating defense lawyer activities, continuously reviewing the potential for settlement with claimant, reviewing litigation expenses and authorizing payments

• Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Depart from approved vendors with manager approval, where in the best interests of the insured

• Ensure legal compliance by following state and federal laws and regulations and internal control requirements

• Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud

• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed

• Serve as a technical resource by mentoring lower level claims professionals and sharing technical knowledge related to specific Line Of Business expertise

• Protect the organization´s reputation by keeping claims information confidential

• Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societies

• Contribute to the team effort by accomplishing related results and participating in projects as needed

• Identify and resolve problems by referring to policies, procedures, and standards to ensure consistency and quality of solutions

• Assess and appoint claims vendors within agreed authority limits aligned to the organization´s Claims Vendor Management strategy

• Act as a technical expert for own team, and internal business partners and provides insights to help improve product offerings, risk assessments and policy language

• Determine when to solicit input from more senior colleagues or managers for more complex issues, to ensure quality and continuous learning

Basic Qualifications:

• Bachelors Degree and 8 or more years of experience in the Claims Technical areaOR

• Juris Doctor and 4 or more years of experience in the Claims and Litigation Management areaOR

• High School Diploma or Equivalent and 10 or more years of experience in the Claims and/or Litigation Management areaOR

• Zurich Certified Insurance Apprentice, including an Associate Degree with 8 or more years of experience in the Claims and/or Litigation Management areaAND

• Must obtain and retain required adjuster license

• Microsoft Office experience

• Knowledge of insurance regulations, markets, and products

Preferred Qualifications:

• JD, SCLA, AIC or CPCU

• Experience working in a collaborative team environment and across work groups

• Excellent verbal and written communication skills

• Expertise resolving severe bodily injury and property damage claims and litigation in multiple jurisdictions

• Strong skills in coverage, claim evaluation and negotiation

• Proven organization and time management skills

• Ability to work independently

As a condition of employment at Zurich, employees must adhere to our COVID-related health and safety protocols ( https://www.zurichna.com/careers/faq ), including, without limitation, a requirement that employees attest as to their vaccination status with a YES/NO, and upload proof of vaccination status, or negative COVID test results when allowable, to a third-party vendor. These are continuously re-evaluated and the requirements may change at any time.

A future with 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 148 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 (https://www.zurichna.com/careers) 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 – Schaumburg, AM – Addison, AM – Albuquerque, AM – Anoka, AM – Atlanta, AM – Boston, AM – Houston, AM – Las Vegas, AM – Maitland, AM – Melville, AM – New York, AM – Omaha, AM – Overland Park, AM – Owings Mills, AM – Parsippany, AM – Rancho Cordova, AM – Rocky Hill, AM – Seattle, AM – Woodland Hills

Remote Working: No

Schedule: Full Time

Linkedin Recruiter Tag: #LI-MM1