Senior Workers’ Comp Litigated Claims Specialist

Zurich North America; Schaumburg (IL); Hybrid; USD 59,900 - 98,200; Full time

Benefits offered by this job

Short-term incentive bonus (10% bonus)

Hybrid work model

Job summary

Zurich North America in Schaumburg, IL, is seeking a sharp Workers Compensation Litigated Claims Specialist II to join our high-performing claims team. This role supports multi-state operations (IN, IL, MI, SD, NE, OH) with a hybrid schedule in Schaumburg and fully remote in Indiana.

The candidate will manage litigated workers’ compensation claims, drive case strategy, reserves, and settlements while ensuring adherence to best practices and regulatory requirements.

Qualifications

• Bachelor degree and 3+ years of experience in the Claims or Insurance area.
• Zurich Certified Insurance Apprentice, including an associate degree with 3+ years of experience in the Claims or Insurance area.
• Completion of Zurich Claims Training Program and 2+ years of experience in the Claims or Insurance area.
• High School Diploma Equivalent and 5+ years of experience in the Claims or Insurance area.
• Must obtain and maintain required adjuster license(s).
• Microsoft Office experience.
• Knowledge of insurance regulations, markets and products.

Responsibilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for worker’s compensation claims of moderate to high exposure and complexity.
• Exercise judgment to determine compensability 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 achieve 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.
• Meet quality standards by following best practices.

Skills

Litigation

Claims management

Negotiation

Multi-state exposure

Analytical thinking

Education

Bachelor degree

Zurich Certified Insurance Apprentice

Zurich Claims Training Program

High School Diploma Equivalent

Tools

Microsoft Office

Job description

Zurich North America in Schaumburg, IL, is seeking a sharp Workers Compensation Litigated Claims Specialist II to join our high-performing claims team. This role supports multi-state operations (IN, IL, MI, SD, NE, OH) with a hybrid schedule in Schaumburg and fully remote in Indiana.

The candidate will manage litigated workers’ compensation claims, drive case strategy, reserves, and settlements while ensuring adherence to best practices and regulatory requirements.