Hybrid/Remote Workers' Comp Claims Specialist II

Zurich NA; Boston (MA); Hybrid; USD 60,000 - 98,000; Full time

Benefits offered by this job

Hybrid work schedule

Competitive pay and benefits

Job summary

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist II for the Northeast region. The role offers a hybrid schedule from Parsippany or Boston offices, or a fully remote setup based in select states across the Northeast and mid-Atlantic.

You will handle multi-party WC claims of varying exposure, documenting claims, assessing liability and coverage, and developing case strategy to achieve timely resolutions while ensuring compliance and confidentiality.

Qualifications

• Bachelor’s Degree or equivalent experience in Claims or Insurance.
• Zurich Apprentice with Associate Degree and 3+ years in Claims or Insurance area.
• Completion of Zurich Claims Training Program and 2+ years in Claims or Insurance area.
• High School Diploma with 5+ years in Claims or Insurance area.
• Must obtain and maintain required adjuster licenses.
• Knowledge of insurance regulations, markets and products.
• Proficiency with Microsoft Office.

Responsibilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal or commercial line claims.
• Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgement to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
• Develop case strategy and evaluation; escalating issues as appropriate to achieve timely resolution.
• Establish timely reserves and perform ongoing review within authority limits 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 within authority limits.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information and responding to inquiries.
• Manage expenses by working within vendor networks and managing outside contractors; seek manager approval for deviations.
• Ensure legal compliance by following state and federal laws and internal controls.
• Refer claim to subrogation and fraud teams when applicable.
• Contribute to profitable growth by providing risk insight and trends to Business Unit or customer.
• Protect Zurich’s reputation by keeping claims information confidential.
• Maintain professional knowledge by ongoing education and industry involvement.

Skills

Analytical skills

Excellent communication skills

Microsoft Office experience

Knowledge of insurance regulations

Knowledge of insurance products

Education

Bachelor’s Degree in Claims or Insurance

Zurich Certified Insurance Apprentice (Associate Degree)

Zurich Claims Training Program completion

High School Diploma or Equivalent

Tools

Microsoft Office

Job description

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist II for the Northeast region. The role offers a hybrid schedule from Parsippany or Boston offices, or a fully remote setup based in select states across the Northeast and mid-Atlantic.

You will handle multi-party WC claims of varying exposure, documenting claims, assessing liability and coverage, and developing case strategy to achieve timely resolutions while ensuring compliance and confidentiality.