Remote/Hybrid Workers' Comp Claims Specialist I

Zurich NA; Connecticut; Hybrid; USD 50,000 - 81,000; Full time

Job summary

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist I for the Northeast region. The role offers a hybrid schedule from Parsippany or Boston offices, or fully remote from certain states, with a base pay range of $49,500 to $81,000 and a 10% short-term incentive bonus eligibility.

You will handle multi-party workers’ compensation claims with moderate exposure, set reserves, assess damages, and negotiate settlements within authority limits, ensuring timely,

Qualifications

• Bachelor's degree with 2+ years in Claims/Insurance
• Zurich Apprentice path with Associate Degree and 2+ years in Claims/Insurance
• High School Diploma and 4+ years in Claims/Insurance
• Zurich Claims Training Program with 2+ years in Claims/Insurance
• Must obtain and maintain adjuster licenses
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Responsibilities

• Document claims file by accurately capturing and updating claims data in compliance with best practices.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; applying applicable law; establishing negligence principles.
• Analyze coverage to verify policy limits and determine whether loss falls within coverage.
• Develop case strategy and evaluate case to achieve timely resolution; escalate issues as appropriate.
• Establish reserves and review claims throughout the cycle within authority; estimate and validate claim values.
• Assess damages by calculating damages or ranges allowed by law.
• Negotiate settlements using appropriate strategy and tools within authority.
• Meet quality standards by following best practices

Skills

Excellent communication skills

Analytical skills

Negotiation experience

Litigation management experience

Knowledge of claims handling

Experience in line of business

Education

Bachelor's Degree + 2+ years

Zurich Certified Insurance Apprentice + Associate Degree + 2+ years

High School Diploma or Equivalent + 4+ years

Zurich Claims Training Program + 2+ years

Tools

Microsoft Office

EDI filing requirements

MSA/Medicare knowledge

WCCA designation

WCCP designation

Job description

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist I for the Northeast region. The role offers a hybrid schedule from Parsippany or Boston offices, or fully remote from certain states, with a base pay range of $49,500 to $81,000 and a 10% short-term incentive bonus eligibility.

You will handle multi-party workers’ compensation claims with moderate exposure, set reserves, assess damages, and negotiate settlements within authority limits, ensuring timely,