Workers Compensation Claims Specialist II

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Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic Workers Compensation team. This is an exciting opportunity to make a meaningful impact by delivering exceptional claims service, applying your expertise, and contributing to the success of a respected industry leader.

We are seeking candidates with experience handling Maryland Workers Compensation claims. This is a fully remote opportunity for professionals based in Maryland, and we will also consider highly qualified candidates in neighboring states who bring strong expertise in managing Maryland Workers Compensation claims.

At Zurich, we are committed to supporting your professional growth and development while fostering a culture of excellence, innovation, and customer focus. If you are looking to advance your career with an organization that values your expertise and empowers you to succeed, we encourage you to apply.

The Workers Compensation Claims Specialist will handle multi-party commercial line Workman’s Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

In this role you will be responsible for:

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for commercial line claims of moderate to high exposure and complexity.
• Exercise judgment 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

Basic Qualifications:

• Bachelor’s Degree and 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• High School Diploma Equivalent and 5 or more years of experience in the Claims and/ or Litigation Management area.
  AND
• Must obtain and maintain required adjuster license(s)
• Knowledge of insurance regulations, markets and products

Preferred Qualifications:

• 3+ years of experience handling claims with medium to high severity and exposure
• 3+ years of Litigation Management experience
• Expertise in handling MD Work Comp
• Claims handling experience working for a carrier
• 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…