Claims Specialist, Liability

3 weeks ago

Toronto, Ontario, Canada Zurich Insurance Company Ltd. Full time
About the Opportunity

Zurich Canada is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in handling single and multi-party commercial lines claims of low to moderate exposure and complexity.

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 damages or range of damages allowed by law.
  • 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.
  • 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 the scope of work assigned to outside contractors.
  • Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
  • Refer claims 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.
Requirements
  • Bachelor's Degree and 2 or more years of experience in the Claims or Insurance area.
  • Zurich Certified Insurance Apprentice, including an Associate Degree and 2 or more years of experience in Claims or Insurance area.
  • Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area.
  • High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area.
  • Knowledge of insurance regulations, markets, and products.
  • Microsoft Office experience.
About Us

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. With over 500 employees in offices across the country, we offer the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets. We aspire to be risk management professionals' first choice as their premier partner to help meet the risk challenges of today and tomorrow.

We are committed to providing a diverse, inclusive, and barrier-free environment resulting in an accessible organization for employees, customers, and other parties who interact with, or on behalf of, Zurich. We strive to achieve a workplace free of discrimination of all forms, including discrimination on the basis of physical or mental disability, or medical condition.

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