Sr. Claims Specialist, Workers Compensation

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 the following North American Claims offices: Addison, Texas.

Position Available: Senior Claims Specialist

 

Location: Addison, Texas

 

Zurich is currently seeking a Senior Claims Specialist to join our team in Addison, Texas, on a hybrid work schedule. In this role, you will be responsible for handling Workers Compensation claims primarily in Texas, with additional cases in Arkansas and Oklahoma. The position focuses on high exposure and complex claims, ensuring prompt and equitable resolutions.

 

Key Responsibilities:

 

• Investigate Workers Compensation claims to determine applicable coverage and liability.
• Document claim files thoroughly to support payment decisions.
• Set appropriate reserves within authority levels and comply with special handling requirements.
• Develop and maintain positive customer relationships, anticipating needs, and recommending changes as necessary.

 

Basic Qualifications:

 

• Bachelor’s Degree and 6 plus years of experience in Claims and/or Litigation Management
  OR

• Juris Doctor and 2+ years of experience in Claims and/or Litigation Management
  OR

• Zurich Certified Insurance Apprentice with an Associate Degree and 6 plus years of experience in Claims and/or Litigation Management
  OR

• Completion of Zurich Claims Training Program and 6 plus years of experience in Claims and/or Litigation Management
  OR

• High School Diploma Equivalent and 8 plus years of experience in Claims and/or Litigation Management
• Must obtain and maintain required adjuster license(s)
• Proficiency in Microsoft Office
• Knowledge of insurance regulations, markets, and products

 

Preferred Qualifications:

 

• 6+ years of experience handling Worker Compensation claims of high exposure
• 6+ years of experience with litigation management
• Required expertise in handling claims in Texas, with preferred experience in Arkansas and Oklahoma.
• Property & Casualty Insurance Experience
• Effective verbal and written communication skills
• Strong analytical, critical thinking, and problem-solving skills
• Strong multitasking and prioritization abilities
• Experience collaborating in a team environment and building cross-functional working relationships
• Proactive sharing of insights and gathering unique perspectives from other teams/functions
• Understanding, analysis, and application of insurance policy components for complex claims
• Ability to follow reserving process for indemnity and expense in analyzing potential exposure of complex claims
• Ability to determine scope and exposure for complex claims
• Leveraging trends and relationships to provide high-quality customer service
• Identification, understanding, and explanation of complex financial and/or actuarial trends/concepts
• Effective communication of coverage determinations to customers/clients/brokers for complex claims
• Directing 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 f