Sr. Claims Specialist, Workers Compensation

Zurich Insurance Group; San Jose (CA); Hybrid; USD 110,000 - 125,000; Full time

Job summary

A leading global insurance firm is seeking a dedicated Claims Management professional to manage claims efficiently. The ideal candidate will possess strong analytical skills and a Bachelor’s Degree, with opportunities for remote work. The role involves documenting claims, determining liability, and negotiating settlements. Competitive salary and comprehensive benefits offered.

Benefits

Salary up to $121,700

Short-term incentive bonus eligibility set at 15%

Comprehensive employee benefits package

Opportunity for career advancement

Qualifications

• 6+ years of experience in Claims and/or Litigation Management or Juris Doctor with 2+ years.
• Must obtain and maintain required adjuster license(s).
• Knowledge of insurance regulations, markets, and products.

Responsibilities

• Document claims files accurately capturing and updating claims data.
• Determine liability by gathering and analyzing relevant facts.
• Develop case strategy and ensure timely resolution of claims.
• Establish timely reserves and perform ongoing reviews.
• Negotiate settlements within authority limits.

Skills

Analytical skills

Problem-solving skills

Communication skills

Education

Bachelor’s Degree

High School Diploma Equivalent

Tools

Microsoft Office

Job description

Employer Industry: Insurance

Why consider this job opportunity

• Salary up to $121,700
• Short-term incentive bonus eligibility set at 15%
• Opportunity for career advancement and growth within a leading global organization
• Flexibility to work remotely from California or other locations with a California license
• Comprehensive employee benefits package for employees and eligible dependents
• Supportive and inclusive work environment that values diverse perspectives

What to Expect (Job Responsibilities)

• Document claims files by accurately capturing and updating claims data in compliance with best practices
• Determine liability by gathering and analyzing relevant facts and applying applicable law
• Develop case strategy and ensure timely resolution of claims
• Establish timely reserves and perform ongoing reviews throughout the claims cycle
• Negotiate settlements by establishing appropriate negotiation strategies within authority limits

What is Required (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, or equivalent experience
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets, and products
• High School Diploma Equivalent and 8 or more years of experience in the Claims and/or Litigation Management area

How to Stand Out (Preferred Qualifications)

• 6 or more years of experience handling high severity Workers Compensation litigated claims
• Currently holds an active adjuster’s license in the state of California
• Strong analytical, critical thinking, and problem-solving skills
• Ability to effectively communicate coverage determinations for complex claims
• Experience collaborating in a team environment and building cross-functional working relationships

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