Senior Claims Specialist Construction Professional Liability Claims

Zurich 56 Company Ltd; Schaumburg (IL); Hybrid; USD 74,000 - 122,000; Full time

Job summary

An established industry player is seeking a Senior Claims Specialist to join their innovative team. This role offers the opportunity to manage complex construction liability claims with a focus on delivering exceptional customer service. You will utilize your expertise to analyze claims, determine liability, and negotiate settlements while working in a hybrid environment that promotes flexibility and work-life balance. Ideal candidates will have a strong background in claims management and litigation, along with excellent analytical and communication skills. Join a dynamic team where your contributions will make a significant impact on the organization and its clients.

Qualifications

• 6+ years of experience in Claims and/or Litigation Management.
• Must obtain and maintain required adjuster license(s).
• Knowledge of insurance regulations and markets.

Responsibilities

• Document claims files and ensure compliance with best practices.
• Negotiate settlements and manage expenses effectively.
• Ensure legal compliance and maintain claims confidentiality.

Skills

Claims Management

Litigation Management

Analytical Skills

Communication Skills

Problem-Solving Skills

Multi-tasking

Education

Bachelor's Degree

Juris Doctor

High School Diploma Equivalent

Job description

Senior Claims Specialist Construction Professional Liability Claims

123069

At Zurich North America Claims, we acknowledge that work-life balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Addison, TX; Atlanta, GA; Dallas, TX; New York, NY; Omaha, NE; Overland Park, KS; Parsippany, NJ; Schaumburg, IL; or Woodland Hills, CA.

Zurich North America is seeking a Senior Construction Professional Liability Claims Specialist to support the Claims organization. With moderate direction, this role handles single and multi-party litigated and non-litigated commercial line claims of high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

We are hiring this role as a remote position.

Job Responsibilities:

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for high exposure and complexity Construction Professional line claims.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
• Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout claims cycle within authority limit 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 and utilizing available tools and resources within authority limits.
• Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.
• Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Depart from approved vendors with manager approval, where in the best interests of the insured.
• Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Protect Zurich’s reputation by keeping claims information confidential.
• Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks, and participating in professional societies.

Basic Qualifications:

• Bachelor’s Degree and 6 or more years of experience in the Claims and/or Litigation Management area.
  OR
• Juris Doctor and 2 or more years of experience in the Claims and/or Litigation Management area.
  OR
• Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/or Litigation Management area.
  OR
• Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/or Litigation Management area.
  OR
• High School Diploma Equivalent and 8 or more years of experience in the Claims and/or Litigation Management area.
  AND
• Must obtain and maintain required adjuster license(s).
• Knowledge of insurance regulations, markets, and products.

Preferred Qualifications:

• Prior claims experience in handling complex liability claims under various types of policies.
• A general knowledge of the construction industry and various types of construction projects from pre-construction activities through substantial completion and the various risks and liabilities of all the parties involved.
• Effective verbal and written communication skills.
• Strong analytical, critical thinking and problem-solving skills.
• Strong multi-tasking and prioritization skills.
• Experience collaborating in a team environment and building cross-functional working relationships.
• Proactively shares and promotes sharing of insights.
• Ability to gather unique perspectives from other teams/functions to optimize outcomes.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims.
• Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims.
• Ability to determine the scope and exposure for complex claims.
• Ability to leverage trend and relationships to provide high-quality customer service.
• Well-versed in identifying, understanding, and explaining complex financial and/or actuarial trends/concepts.
• Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims.
• Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. The proposed salary range for this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%.

As an insurance company, Zurich is subject to 18 U.S. Code § 1033.

Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Location(s): AM - Schaumburg, AM - Addison, AM - Atlanta, AM - Dallas, AM - New York, AM - Omaha, AM - Overland Park, AM - Parsippany, AM - Woodland Hills
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No