Workers Compensation Claims Specialist II

Zurich 56 Company Ltd; Schaumburg (IL); Hybrid; USD 66,000 - 108,000; Full time

Job summary

Zurich North America is seeking a skilled Workers Compensation Claims Specialist II to join our team in Schaumburg, IL. This role handles multi-party commercial line Workman's Compensation claims of moderate to high exposure and complexity, applying expertise to ensure efficient, customer-centric service.

You will work in a hybrid office environment, collaborating with cross-functional partners, applying knowledge of coverage, liability, and reserving, and driving timely resolutions within

Qualifications

• Bachelor's degree and 3+ years in Claims or Litigation Management.
• Zurich Certified Insurance Apprentice with 3+ years in Claims/Litigation.
• Completion of Zurich Claims Training Program with 3+ years in Claims/Litigation.
• High School Diploma Equivalent and 5+ years in Claims/Litigation.
• Must obtain and maintain required adjuster licenses.
• Knowledge of insurance regulations, markets and products.

Responsibilities

• Document claims files by accurately capturing and updating data per best practices for commercial line claims of moderate to high exposure and complexity.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; applying applicable law; establishing basic negligence principles.
• Analyze coverage to determine whether the loss falls within policy terms and coverage.
• Develop case strategy and evaluation to achieve timely resolutions; escalate issues as needed.
• Establish timely reserves and monitor claims within authority limits.
• Assess damages and ranges allowed by law.
• Negotiate settlements within authority limits and available tools.
• Meet quality standards by following best practices.

Skills

Verbal communication

Written communication

Analytical thinking

Problem solving

Time management

Multi-tasking

Team collaboration

Negotiation

Education

Bachelor's degree

Zurich Certified Insurance Apprentice

Zurich Claims Training Program

High School Diploma Equivalent

Job description

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Workers Compensation Claims Specialist II

136908

Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic Workers Compensation team. This is an exciting opportunity to make a meaningful impact by delivering exceptional claims service and applying your expertise within a respected, industry leading organization.

We are seeking someone who can collaborate in person at our Schaumburg, IL headquarter office on a hybrid work schedule. If you’re looking to grow your career with a company that values excellence, innovation, and flexibility, we’d love to hear from you.

The Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

In this role you will be responsible for

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for commercial line claims of moderate to high exposure and complexity.
• 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.
• Meet quality standards by following best practices

Basic Qualifications

• Bachelor's Degree and 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• High School Diploma Equivalent and 5 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

• 3+ years of experience handling claims with medium to high severity and exposure
• 3+ years of Litigation Management experience
• Jurisdictional expertise handling claims in Illinois, Minnesota, Kansas, Missouri, and Utah
• Claims handling experience working for a carrier
• Effective verbal and written communication skills
• Strong analytical, critical thinking, and problem solving skills
• Solid time management, prioritization and multi-tasking skills
• Experience collaborating in a team environment and building cross functional working relationships
• Adept in identifying and explaining complex financial and/or actuarial concepts.
• Ability to determine the scope and exposure for moderately complex claims
• Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims
• Ability to develop and execute a negotiation strategy and plan for resolution
• Ability to identify subtleties in customer/client and/or business partner interactions
• Ability to present information necessary to propose a claim resolution to stakeholders

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The proposed Salary range for this position is $65,900.00 - $108,000.00, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500®.

Join us for a brighter future-for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code § 1033.

Location(s): AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered:No