Claims Specialist

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 in Auto claims, and are looking for a new challenge, we would love to hear from you.-
- Zurich Canada is currently seeking a Claims Specialist - Personal Lines Auto, based in either Montreal, Waterloo or Calgary. 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 in the most efficient, effective way while delivering a customer-centric claims service.-
- This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters.-
- This is a hybrid work opportunity.- 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 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; 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 damages or range of damages allowed by law.
- 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.
- Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.
- Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Departs from approved vendors with manager approval, where 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 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**:

- Bachelors Degree and 2 or more years of experience in the Claims or Insurance area-
- OR-
- Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area-
- OR-
- High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area-
- OR-
- Completion of Zurich Claims Training Program and 1 or more years of experience in the Claims or Insurance area-
- AND-
- Must obtain and maintain required adjuster license(s)
- Microsoft Office experience
- Knowledge of insurance regulations, markets and products
- Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and regulations.-
- **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 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- _ Fluency in both spoken and written English is required to fa