Auto Litigation Claims Specialist

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into [one of] the following North American Claims office[s]: Atlanta, GA; Schaumburg, IL; Addison, TX; or Omaha, NE.

Zurich North America is currently hiring an Auto Litigation Claims Specialist, and this person will report to an Auto Claims Handling Manager. 

Responsibilities:

• Work closely with attorneys internally and externally
• Partner with attorneys on complex claims cases
• Claims process management, work closely with attorney
• Handle auto litigated claims
• Can handle high exposure claims
• 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.
• 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.

Basic Qualifications:

• Bachelor’s Degree and 3 or more years of experience in the Claims or Insurance area OR
• Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area OR
• Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area OR
• High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area AND
• Must obtain and maintain required adjuster license(s)
• Knowledge of insurance regulations, markets and products
• Microsoft Office experience

Preferred Qualifications:

• Auto commercial experience
• Personal lines auto 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 claims and moderately complex claims
• Ability to determine the scope and exposure for 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