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Claims Specialist
2 months ago
Zurich Canada is seeking a skilled Claims Specialist to join our team. As a Claims Specialist, you will play a critical role in handling bodily injury and property damage claims for commercial lines insureds. Your expertise will be essential in delivering a customer-centric claims service, ensuring that claims are handled efficiently and effectively.
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 achieve timely resolution of 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 Business Unit or customer as needed.
- Protect Zurich's reputation by keeping claims information confidential.
- 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.
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, Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets.
