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Claims Specialist
2 months ago
We are seeking a Claims Specialist I to handle bodily injury and property damage claims for commercial lines insureds of low to moderate exposure and complexity.
About the JobThis is a unique opportunity to build your knowledge and experience in a supportive environment where your voice matters. As a Claims Specialist I, you will be responsible for handling claims from start to finish, working closely with customers, brokers, and other stakeholders to deliver excellent customer service.
Key Responsibilities- Document claims files by accurately capturing and updating claims data/information in compliance with best practices
- Exercise judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law, and 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, and escalating issues as appropriate
- Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits by estimating and validating the value of claims
- Assess damages by calculating applicable damage or range of damages
- Negotiate settlement of claims by establishing an appropriate negotiation strategy and utilizing available tools and resources within authority limits
- Meet quality standards by following best practices
- Responsible for data integrity and the appropriate documentation of the claim's file as well as for compliance with regulatory notification requirements
- Accountability in customer satisfaction and execute on our strategy to provide the best claims service in the commercial insurance business
- Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols and special handling instructions
- Manage expenses by working within vendor-approved networks and managing the scope of work assigned to outside vendors
- Ensure legal compliance by following provincial, federal laws and regulations and internal control requirements
- Refer claims to subrogation and INS teams by identifying potential subrogation and fraud
- Contribute to profitable growth by providing risk insight, information, and trends to the Business Unit or customer as needed
- Protect Zurich's reputation by keeping claims information confidential
We are looking for a highly motivated and organized individual with a Bachelor's degree or college diploma in a relevant field, or equivalent work experience and 2 or more years of experience in general liability or auto bodily injury claims.
Preferred Qualifications- Experience in handling premises liability claims
- Experience with claims reviews and presenting to various stakeholders
- Experience maintaining relationships with our brokers, underwriting partners, and other business functions
- Strong analytical, critical thinking, and problem-solving skills
- Strong verbal and written communication skills
- Understanding of claims adjustment process and ability to determine scope/exposure for losses
- Understanding and application of financial and actuarial/reserving concepts
- Familiarity with negotiation strategies and experience in suggesting alternative approaches
- Ability to manage a pending and multitask, strong organizational and time management skills
- Strong customer service experience
- Proficient with Office 365 productivity tools and apps
- Completed or actively pursuing the Canadian Insurance Institute (CIP) designation
Zurich Canada is part of the Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees worldwide serving customers in global and local markets. We are a leading insurance provider serving mid-sized and large companies, including multinational corporations, in the Canadian commercial market for 100 years.
Our CultureWe are proud of our culture, which values diversity, inclusion, equity, and belonging. We strive to create an environment where everyone feels welcome and valued. We offer a comprehensive health/benefits plan, competitive total compensation package, and opportunities for career development and growth.
Why Work for UsWe are committed to providing a diverse, inclusive, and barrier-free environment. We strive to exceed our customers' expectations and make a positive impact on our communities. We offer a supportive and collaborative work environment where you can grow and develop your skills and expertise.
