Remote/Hybrid Workers' Comp Claims Specialist II

Zurich NA; Vermont; Hybrid; USD 60,000 - 98,000; Full time

Job summary

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist II for our Northeast region. The role offers a hybrid work schedule from Parsippany or Boston offices, or a fully remote setup based in one of several states including Vermont.

You will handle multi-party WC claims with varying exposure and complexity, ensuring efficient, customer-centric service while adhering to regulatory requirements.

Qualifications

• Bachelor’s Degree and 3+ years of experience in the Claims or Insurance area OR

Responsibilities

• Document claims file by accurately capturing and updating claims data 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.
• Analyze coverage determination by reviewing applicable coverage for claims and determining whether loss falls within coverage.
• Develop case strategy and evaluation to achieve timely resolution of claims.
• Establish reserves and review throughout claims cycle within authority limits; estimate and validate claim value.
• Assess damages and calculate applicable damages or ranges allowed by law.
• Negotiate settlements within authority; develop negotiation strategy.
• Follow best practices to meet quality standards and ensure customer service.
• Manage expenses by working with vendors; ensure alignment with internal controls.
• Refer claims to subrogation and fraud teams as appropriate.
• Contribute risk insights and trends to Business Unit or customers.
• Maintain confidentiality of claims information and stay current with industry trends.

Skills

Excellent communication skills

Analytical skills

Negotiation experience

Knowledge of insurance regulations

Education

Bachelor’s Degree

Zurich Certified Insurance Apprentice

Zurich Claims Training Program

High School Diploma or Equivalent

Tools

Microsoft Office

Job description

Zurich North America is seeking an accomplished Workers Compensation Claims Specialist II for our Northeast region. The role offers a hybrid work schedule from Parsippany or Boston offices, or a fully remote setup based in one of several states including Vermont.

You will handle multi-party WC claims with varying exposure and complexity, ensuring efficient, customer-centric service while adhering to regulatory requirements.