Sr. Worker's Compensation Specialist

Zurich North America is looking for a skilled Senior Claims Specialist in Workers' Compensation to join our team. We offer flexible work options, including a fully remote schedule for candidates based in North Carolina, or the possibility of remote work from South Carolina or a hybrid schedule from our Atlanta, GA office. Take the next step in your career with a company that values expertise, growth, and work-life balance.

 

The Senior Workers' Compensation Claims Specialist will manage multi-party commercial Workers' Compensation claims of moderate to high exposure and complexity, within defined authority limits. This role ensures claims are handled efficiently and effectively, with a strong focus on providing customer-centric service.

 

In this role, you will be responsible for:

 

• Documenting claims files by accurately capturing and updating claims data and information, ensuring compliance with best practices for multi-party commercial claims of moderate to high exposure and complexity.
• Exercising sound judgment to determine liability by gathering and analyzing relevant facts, applying applicable law, and establishing basic principles of negligence.
• Conducting policy verification and making coverage determinations by analyzing applicable coverage for claims and assessing if the loss falls within the policy’s terms.
• Driving timely claims resolutions by developing case strategies, performing case evaluations, and escalating issues as appropriate.
• Setting and reviewing reserves promptly throughout the claims cycle within authority limits, including estimating and validating claim values.
• Assessing damages by calculating applicable damages or the range permitted by law.
• Negotiating claim settlements by establishing an effective negotiation strategy and using available tools and resources within authority limits.
• Meeting quality standards by adhering to established 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:

 

• 8 + years of experience handling Workers Compensation claims with high severity and exposure.
• 8 + years of experience in Litigation Management.
• Experience handling claims in North Carolina
• 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 envir