Claims Associate II - Workers Comp (Remote US)

Zurich North America; University City (MO); Remote; USD 31,000 - 43,000; Full time

Job summary

Zurich North America is seeking a Claims Associate II for Workers’ Comp to interpret, investigate, and evaluate policies and coverage issues. You will manage low to moderate exposure workers’ compensation claims, building partnerships with customers and brokers on specific accounts.

This remote role requires a background in insurance or customer service, medical terminology, or medical coding. You’ll perform claims processing, communicate with providers, and support resolutions from a

Qualifications

• Bachelor’s Degree required or High School Diploma plus 2+ years in Customer Service
• Zurich Certified Insurance Apprentice with Associate Degree acceptable
• Must obtain and maintain required adjuster licenses and have Microsoft Office proficiency

Responsibilities

• Review new claims and ensure information is complete
• Make initial contact with claim stakeholders
• Respond to emails and calls to address questions or concerns
• Process incoming mail and manage documentation
• Coordinate with providers on medical requests
• Evaluate claims for closure and support positive outcomes

Skills

Customer service

Analytical

Organizational skills

Multitasking

Communication

Adaptability

Education

Bachelor’s Degree

High School Diploma or Equivalent

Zurich Certified Insurance Apprentice (Associate Degree)

Tools

Microsoft Office

Job description

Zurich is currently hiring a Claims Associate II to join their Workers’ Compensation Claims Team. This is a great opportunity to start a career in claims by learning how to interpret, investigate and evaluate policies and coverage issues, as well as claims handling and best practices. At this level, you will manage workers compensation claims caseload that consists of low to moderate exposure. As part of Zurich North America’s commitment to service excellence, you will build partnerships with customers and brokers and may be aligned to specific accounts.

This is a remote position for a strong candidate with a background in insurance, customer service, multi-tasking, and experience in medical terminology and/or medical coding in California.

As a Claims Associate II – Workers Comp, your primary responsibilities will include:

• Reviewing new claims and ensuring all required information is complete
• Making initial contact
• Responding promptly to emails and phone calls to address questions or concerns
• Processing incoming mail and handling relevant documentation efficiently
• Managing medical requests and coordinating with providers as needed
• Evaluating claims for closure and making decisions that support positive outcomes

Basic Qualifications:

• Bachelor’s Degree and no prior experience required in the Claims area
• OR
• High School Diploma or Equivalent and 2 or more years of experience in the Customer Service area
• OR
• Zurich Certified Insurance Apprentice including an Associate Degree and no prior experience required in the Claims area
• AND
• Must obtain and maintain required adjuster license(s)
• Experience with Microsoft Office

Preferred Qualifications:

• Insurance industry, medical terminology, or medical billing knowledge
• Analytical and organizational skills
• Ability to multi-task
• Strong communication skills
• Adapt to a changing environment

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 hourly rate for this position is $22.40 - $30.87, with short-term incentive bonus eligibility set at 5%.

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

Why Zurich?

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.

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

Location(s): AM - Remote Work (US)

Remote Working: Yes

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #ILI-MM1