Senior Claims Specialist, Workers Compensation

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🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $83.4k - $136.5k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 1%

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Zurich Insurance

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏥 Healthcare

⚖️ Legal

Consulting • Healthcare • Legal

Zurich Insurance is a global insurance and risk-management company offering a broad range of products and services including commercial and personal property & casualty insurance, life and critical-illness cover, pensions and retirement solutions, savings and investment products, claims and risk advisory, and specialty offerings such as microinsurance and travel coverage. The company also runs investment funds, sustainability and climate-focused initiatives, innovation and technology programs, and a foundation for community and environmental projects. Zurich serves both individual consumers and corporate clients across many countries, emphasizing governance, ESG reporting, digital innovation, and resilience.

📋 Description

• Handle single- and multi-party commercial-line Workers’ Compensation claims of moderate to high exposure and complexity within authority limits • Document claims files by accurately capturing and updating claims data and information • Determine liability by gathering and analyzing facts, applying relevant law, and establishing negligence principles • Verify policies and determine coverage by analyzing applicable claim coverage • Develop case strategies and evaluations to achieve timely claim resolution; escalate issues as appropriate • Establish timely reserves and review them throughout the claims cycle • Assess damages and calculate applicable damages or legally permitted ranges • Negotiate claim settlements using appropriate strategies and available resources within authority limits • Meet quality standards by following best practices • Deliver customer-centric claims service

🎯 Requirements

• Bachelor’s Degree and 6 or more years of experience in the Claims and/or Litigation Management area; OR Juris Doctor and 2 or more years of experience; OR Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience; OR completion of Zurich Claims Training Program and 6 or more years of experience; OR High School Diploma Equivalent and 8 or more years of experience • Must obtain and maintain required adjuster license(s) • Microsoft Office experience • Knowledge of insurance regulations, markets and products • Candidates working remotely from California are specifically sought; applicants from other locations may be considered if currently licensed in California • Preferred: 6+ years handling high-severity Workers’ Compensation claims • Preferred: 6+ years in litigation management • Preferred: active California adjuster’s license • Preferred: experience working for a carrier • Preferred: effective verbal and written communication skills • Preferred: strong analytical, critical thinking, problem-solving, multitasking, and prioritization skills • Preferred: experience collaborating in a team environment and building cross-functional relationships • Preferred: ability to analyze insurance policies, reserving processes, complex claim exposure, financial/actuarial trends, coverage determinations, and litigation strategies • Employment sponsorship is not offered

🏖️ Benefits

• Short-term incentive bonus eligibility set at 15% • Competitive pay • Comprehensive benefits for employees and their families • Growth, inclusion, and a supportive environment • Merit increases may be available