Workers Compensation Sr. Claims Specialist

Zurich NA; Bismarck (ND); Hybrid; USD 76,000 - 124,000; Full time

Job summary

Zurich North America is seeking an experienced Sr. Workers’ Compensation Claims Specialist for a hybrid role based in Las Vegas, NV, or remote within the US for NV jurisdiction expertise.

The role handles multi-party personal or commercial WC claims of moderate to high exposure, delivering customer-centric service while managing case strategy and reserves. Ideal candidates have 6+ years in Claims or Litigation Management, with relevant degrees or Zurich credentials.

Qualifications

• Bachelor’s Degree or JD with relevant experience in Claims/Litigation Management.
• Academic or professional credentials fulfilling Zurich training requirements.
• Must obtain and maintain adjuster license(s).
• Experience in handling high exposure/multi-party workers' compensation claims.

Responsibilities

• Document claims file with accurate data per best practices for complex claims.
• Assess liability and coverage by analyzing facts and applicable law.
• Determine policy verification and coverage alignment for claims.
• Develop case strategy and reserves to resolve claims timely within authority.
• Calibrate damages and negotiate settlements within limits.
• Follow reserving processes for indemnity and expense for complex claims.
• Adhere to quality standards and best practices.

Skills

Verbal communication

Written communication

Analytical thinking

Problem solving

Education

Bachelor’s degree

Juris Doctor

Zurich Certified Insurance Apprentice

Zurich Claims Training Program

High School Diploma Equivalent

Tools

Microsoft Office

Job description

Workers Compensation Sr. Claims Specialist

136611

Zurich is seeking an experienced Workers’ Compensation Claims Specialist to join our team! This will be a hybrid role based out of our Las Vegas, NV office, or remote in the U.S for those with expertise in handling Jurisdiction of NV.

The Sr. Workers’ Compensation Claims Specialist will handle multi-party personal or commercial line Workers 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 single and multi-party personal or 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 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)

• Microsoft Office experience

• Knowledge of insurance regulations, markets and products

Preferred Qualifications:

• 6+ experience handling high severity Workers Compensation claims

• 6+ years of experience in litigation management

• Must have Jurisdiction expertise handling state of Nevada

• 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

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 pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewardshere (https://www.zurichna.com/careers/benefits) .]

Why Zurich?

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 - Nevada Virtual Office, AM - Remote Work (US)

Remote Working: Hybrid

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-MD1 LI-ASSOCIATE #LI-HYBRID

EOE Disability / Veterans