Claims Specialist I

6 months ago

Toronto, Canada Zurich Insurance Full time

The Opportunity- 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 handling general liability or automobile bodily injury claims, and are looking for a new challenge, we would love to hear from you.- Zurich Canada is currently looking for a Claims Specialist I. Reporting to the Claims Team Manager you will handle bodily injury and property damage claims for commercial lines insureds 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.- The job’s core deliverables rely on delivering service to external clients and/or customers. Typically involves building relationships and promoting the company. The focus for this position will be to deliver excellent customer service with proactive communication with customers to keep them informed at all stages of the claim.- This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters.- 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 for commercial liability 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 damage or range of damages
- 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
- 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 scope of work assigned to outside vendors.
- Ensure legal compliance by following provincial, federal laws and regulations and internal control requirements
- Refer claim to subrogation and INS 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
- Job Qualifications - What you bring to the table- Basic qualifications:
- 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
- Good knowledge of insurance claims
- Good knowledge of how to evaluate bodily injuries and property damage using appropriate case law
- General knowledge of automobile insurance policy wordings and products
- General knowledge of the coverage available under the commercial general liability policy and some common exclusions
- Results driven, ability to multi-task, pay attention to detail and follow procedures
- Proven leadership and time management skills in a team environment
- Excellent writing and presentation skills

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.
- Understands claims adjustment process and possesses ability to determine scope/exposure for losses.
- Understands and applies financial and actuarial/reserving concepts.
- Familiarity with negotiation strategies and experience in suggesting alternative approaches.
- Ability to manage a pending and multi-task, strong organizational and time management skills.
- Strong customer service experience.
- Proficient with Office 3

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