Claims Specialist

4 weeks ago

Toronto, Ontario, Canada Zurich Insurance Company Full time
The Opportunity

Zurich Canada is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our Claims Team, you will be responsible for handling commercial liability claims with 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.

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.
  • Knowledge of insurance regulations, markets, and products.
  • Microsoft Office experience.

Preferred Qualifications:

  • Commercial liability claims handling experience.
  • 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.

About Us:

Zurich is a leading global insurance company with over 148 years of experience managing risk and supporting resilience. We are a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. Our growth strategy is not limited to our business. As an employer, Zurich strives to provide ongoing career development opportunities and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging.

Our Culture:

We are proud of our culture, which is passionate about Diversity, Inclusion, Equity, and Belonging (DIEB). We want you to bring your whole self to work, and we want our employees to be reflective of the communities in which we live and work. Our DIEB initiatives are creating an environment where everyone feels welcome. We have a collaborative culture where diversity of thought is valued. We value your input and strive to give our employees the tools they need to make an impact. We care about our employees' well-being and offer a comprehensive health/benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package. We understand how important it is to rest, recharge, and do the things you love. At Zurich, all employees receive a minimum of four weeks of vacation per year to do just that. We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday, a cultural or religious holiday you would like to observe, or you need time off to focus on your mental health. Zurich employees receive 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 to them through our talent, time, and resources. We have won numerous awards for our workplace culture, including being one of Greater Toronto's Top Employers and receiving Insurance Business Canada's 5-Star Diversity, Equity, and Inclusion Award.

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