Workman's Compensation Claims Specialist II
Company: Zurich Insurance Company Ltd.
Location: Manhattan
Posted on: June 21, 2022
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Job Description:
What can go right when you can grow your career? Now is the time
to move forward and make a difference. At Zurich, we want you to
share your unique perspectives, experiences and ideas so we can
grow and drive sustainable change together. As part of a leading
global organization, we have over 150 years of experience, serve
more than 25 industries, and insure 90% of the Fortune 500 -.
Zurich strives to provide ongoing career development opportunities
so you can reach your full potential and foster an environment
where voices are diverse, behaviors are inclusive, actions drive
equity, and our people feel a sense of belonging. With the support
of people like you, we are optimistic about leading the next
evolution of the insurance industry. Join us in building a brighter
future for our people, our customers and the communities we serve.
- - We are excited to announce we have an opening on our Workman's
Compensation team in Claims. Are you able to work with moderate
direction, handles single and multi-party personal or commercial
line claims of low to moderate exposure and complexity within
specific limits of authority by following established protocols to
ensure that claims are handled in the most efficient, effective way
while delivering a customer-centric claims service. - --- Document
claims file by accurately capturing and updating claims
data/information in compliance with best practices for low to
moderate exposure and complexity personal or commercial line
claims. --- Exercise judgement 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. --- Ensure customer
service by proactively communicating information; responding to
inquiries; following customer protocols and may participating in
customer marketing efforts. --- Manage expenses by working within
vendor approved networks and managing scope of work assigned to
outside contractors. Departs from approved vendors with manager
approval, where in the best interests of the insured. --- Ensure
legal compliance by following state and federal laws and
regulations and internal control requirements. --- Refer claim to
subrogation and fraud teams by identifying potential subrogation
and fraud. --- Contribute to profitable growth by providing risk
insight, information and trends to Business Unit or customer as
needed. --- Protect Zurichs reputation by keeping claims
information confidential. --- Maintain professional and technical
knowledge by participating in educational opportunities, staying
current with industry trends, establishing personal networks. And
participating in professional societies. - Required --- Bachelor's
Degree and 3 or more years of experience in the Claims or Insurance
area OR --- Zurich Certified Insurance Apprentice, including an
Associate Degree and 3 or more years of experience in Claims or
Insurance area OR --- Completion of Zurich Claims Training Program
and 3 or more years of experience in the Claims or Insurance area
OR --- High School Diploma or Equivalent and 5 or more years of
experience in the Claims or Insurance area AND --- Must obtain and
maintain required adjuster license(s) --- Knowledge of insurance
regulations, markets and products --- Microsoft Office experience
Preferred: --- 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 As a
condition of employment at Zurich, employees must adhere to our
COVID-related health and safety protocols ( ), including, without
limitation, a requirement that employees attest as to their
vaccination status with a YES/NO, and upload proof of vaccination
status, or a negative COVID test result when applicable, to a
third-party vendor. These protocols are continuously re-evaluated
and the requirements may change at any time. - A future with
Zurich. What can go right when you apply at Zurich? - Now is the
time to move forward and make a difference. At Zurich, we want you
to share your unique perspectives, experiences and ideas so we can
grow and drive sustainable change together. As part of a leading
global organization, Zurich North America has over 150 years of
experience managing risk and supporting resilience. Today, Zurich
North America is a leading provider of commercial property-casualty
insurance solutions and a wide range of risk management products
and services for businesses and individuals. We serve more than 25
industries, from agriculture to technology, and we insure 90% of
the Fortune 500 -. Our growth strategy is not limited to our
business. As an employer, we strive to provide ongoing career
development opportunities, and we foster an environment where
voices are diverse, behaviors are inclusive, actions drive equity,
and our people feel a sense of belonging. Be a part of the next
evolution of the insurance industry. Join us in building a brighter
future for our colleagues, our customers and the communities we
serve. Zurich maintains a comprehensive employee benefits package
for employees as well as eligible dependents and competitive
compensation. Please click here to learn more. - As a global
company, Zurich recognizes the diversity of our workforce as an
asset. We recruit talented people from a variety of backgrounds
with unique perspectives that are truly welcome here. Taken
together, diversity and inclusion bring us closer to our common
goal: exceeding our customers' expectations. Zurich does not
discriminate on the basis of age, race, ethnicity, color, religion,
sex, sexual orientation, gender expression, national origin,
disability, protected veteran status or any other legally protected
status. EOE disability/vet - - Zurich does not accept unsolicited
resumes from search firms or employment agencies. Any unsolicited
resume will become the property of Zurich American Insurance. If
you are a preferred vendor, please use our Recruiting Agency Portal
for resume submission. - - Location(s): AM - Kansas Virtual Office
Remote Working: Yes Schedule: Full Time - Linkedin Recruiter Tag:
#LI-LC1
Keywords: Zurich Insurance Company Ltd., Manhattan , Workman's Compensation Claims Specialist II, Other , Manhattan, Kansas
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