Senior Claims Specialist
2 weeks ago
Senior Claims Specialist - Personal Lines Location: Montreal, Waterloo or Calgary. Overview Are you looking for a caring, collaborative, values‑driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada. If you have experience in Auto claims and are looking for a new challenge, we would love to hear from you. 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 by following established protocols to ensure that claims are handled efficiently, effectively, and with a customer‑centric service approach. This is a unique opportunity to build your knowledge and experience in a supportive environment where your voice matters. This posting is for an existing vacancy. Zurich Canada uses artificial intelligence–enabled tools to support certain aspects of the recruitment process, including the initial review and screening of applications. AI is not the sole basis for candidate shortlisting or selection. All hiring decisions are reviewed and made by qualified hiring professionals. Zurich follows a hybrid work model requiring three days per week of in‑person presence, which may include time in the office or market‑facing engagements. 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, 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 damages or range of damages allowed by law. Negotiate settlement of claim by establishing an 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 possibly participating in customer marketing efforts. Manage expenses by working within vendor‑approved networks and managing the scope of work assigned to outside contractors; depart from approved vendors with manager approval when 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 the 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 (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 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 at 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. Salary range: $70,000 – $85,000, reflecting the expected pay for the role across Canada and may vary based on office location, specific responsibilities, and individual qualifications. Starting salaries may exceed this range based on a candidate’s skills and experience. Our Culture We are proud of our culture, passionate about Diversity, Inclusion, Equity and Belonging (DIEB), and want employees to bring their whole selves to work. We have a collaborative culture where diversity of thought is valued; we value your input and strive to give employees the tools to make an impact. We care about employees’ well‑being and offer a comprehensive health/benefits plan with varying levels of coverage, a competitive total compensation package, and a minimum of four weeks of vacation per year. Employees receive four personal days per year for personal reasons such as appointments, cultural or religious holidays, or mental health. We are committed to continuous improvement and offer access to comprehensive 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 Top Employer in Greater Toronto and receiving Insurance Business Canada’s 5‑Star Diversity, Equity and Inclusion Award. Make a difference. Be challenged. Be inspired. Be supported. Love what you do. Work for us. Zurich Canada is part of the Zurich Insurance Group, a multi‑line insurer with approximately 55,000 employees worldwide. With over 500 employees in offices across Canada, Zurich offers global strength combined with local market expertise. Learn more at www.zurichcanada.com. We appreciate your interest. If you require an accommodation in our recruitment process, please let us know. Zurich does not accept unsolicited resumes from search firms or employment agencies. Apply now. #J-18808-Ljbffr
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