Remote Workers' Comp Claims Specialist I

Zurich NA

Virginia (MN)

Hybrid

USD 50,000 - 81,000

Full time

7 days ago
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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 based in CT, DE, ME, MA, NH, NJ, NY, PA, RI, VT, VA, or WV.

You will manage multi-party commercial line Workman's Comp claims of low to moderate exposure, ensuring efficient, customer-centric service while applying applicable laws and policy terms.

Qualifications

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

Responsibilities

  • Document claims file with accurate data for moderate to high exposure
  • Determine liability by analyzing facts and applying applicable law
  • Verify coverage and determine if loss falls within policy
  • Develop case strategy to achieve timely resolution
  • Establish reserves and review claims within authority
  • Assess damages and calculate applicable ranges allowed by law
  • Negotiate settlements within authority limits
  • Meet quality standards by following best practices

Skills

Microsoft Office experience
Knowledge of insurance regulations,
Excellent communication skills
Analytical skills
Negotiation experience
Experience in line of business

Education

Bachelor's degree
Zurich Apprentice with Associate Degree
High School Diploma or Equivalent
Zurich Claims Training Program

Tools

EDI filing requirements
MSA/Medicare knowledge

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 based in CT, DE, ME, MA, NH, NJ, NY, PA, RI, VT, VA, or WV.

You will manage multi-party commercial line Workman's Comp claims of low to moderate exposure, ensuring efficient, customer-centric service while applying applicable laws and policy terms.

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