Senior Claims Specialist

Senior Claims Specialist - Personal Lines Join to apply for the Senior Claims Specialist - Personal Lines role at Zurich Insurance. The Opportunity Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? If you have experience in Auto claims and are looking for a new challenge, we would love to hear from you. Zurich Canada is currently looking for a Senior Claims Specialist - Personal Lines Auto in either Montreal, Waterloo or Calgary. Reporting to the Claims Manager, Auto Personal Lines, you will handle single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority, following established protocols to ensure efficient, effective and customer‑centric claims service. This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters. This is a hybrid work opportunity. What you will do 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 judgement 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 participating in customer marketing efforts. Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Depart 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 Zurich’s 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. Job Qualifications Bachelor’s Degree and 3 or more years of experience in the Claims or Insurance area. Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area. Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance area. High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area. Must obtain and maintain required adjuster license(s). Knowledge of insurance regulations, markets and products. Microsoft Office experience. Preferred Bilingual in English and French is an asset. 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. Fluency in both spoken and written English is required to facilitate communication with internal and external stakeholders outside Quebec. Our Culture We are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DIEB) and want you to bring your whole self to work. We value your input and strive to give employees the tools they need to make an impact. We care about employee well‑being and offer a comprehensive health/benefits plan with varying levels of coverage and a competitive total compensation package. Employees receive a minimum of four weeks of vacation per year and four personal days per year to be used at their discretion. We are committed to continuous improvement and offer access to a comprehensive range of training and development opportunities. We care about our communities and give back through our talent, time and resources. We have won numerous awards for our workplace culture, including being a Greater Toronto Top Employer and receiving Insurance Business Canada’s 5‑Star Diversity, Equity and Inclusion Award. About Zurich Canada Zurich Canada is part of the Zurich Insurance Group, a multi‑line insurer with approximately 55,000 employees worldwide. Zurich Canada serves mid‑sized and large Canadian companies for over 100 years with over 500 employees in offices across the country. Read more at www.zurichcanada.com. #J-18808-Ljbffr