Sr. Claims Specialist (Workers Compensation)

Zurich North America is looking for a skilled Senior Claims Specialist in Workers' Compensation to join our team. This position will be out of our Atlanta, GA office on a hybrid work schedule. Take the next step in your career with a company that values expertise, growth, and work-life balance.

The Senior Workers' Compensation Claims Specialist will manage multi-party commercial Workers' Compensation claims of moderate to high exposure and complexity, within defined authority limits. This role ensures claims are handled efficiently and effectively, with a strong focus on providing customer-centric service.

In this role, you will be responsible for:

• Documenting claims files by accurately capturing and updating claims data and information, ensuring compliance with best practices for multi-party commercial claims of moderate to high exposure and complexity.
• Exercising sound judgment to determine liability by gathering and analyzing relevant facts, applying applicable law, and establishing basic principles of negligence.
• Conducting policy verification and making coverage determinations by analyzing applicable coverage for claims and assessing if the loss falls within the policy’s terms.
• Driving timely claims resolutions by developing case strategies, performing case evaluations, and escalating issues as appropriate.
• Setting and reviewing reserves promptly throughout the claims cycle within authority limits, including estimating and validating claim values.
• Assessing damages by calculating applicable damages or the range permitted by law.
• Negotiating claim settlements by establishing an effective negotiation strategy and using available tools and resources within authority limits.
• Meeting quality standards by adhering to established best practices.

Basic Qualifications:

• 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 in the Claims and/ or Litigation Management area.
  OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.
  OR
• High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.
  AND
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Preferred Qualifications:

• 8 + years of experience handling Workers Compensation claims with high severity and exposure.
• 8 + years of experience in Litigation Management.
• Strong expertise in handling claims Georgia.
• Effective verbal and written communication skills.
• Strong analytical, critical thinking and problem-solving skills.
• Strong multi-tasking and prioritization skills.
• Experience collaborating in a team environment and building cross functional working relationships.
• Proactively shares and promotes sharing of insights.
• Ability to gather unique perspectives from other teams/functions to optimize outcomes.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims.
• Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims.
• Ability to determine the scope and exposure for complex claims.
• Ability to leverage trend and relationships to provide high-quality customer service.
• Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
• Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims.
• Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies.

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply—your unique background matters to us. The proposed Salary range for this position is $74,300.00 - $121,700.00, with short-term incentive bonus eligibility set at 15%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]

Why Zurich?

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment—so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500®.

Join us for a brighter future—for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code § 1033.

Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.

Location(s): AM - Atlanta
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No 
 
Linkedin Recruiter Tag: #LI-MD1 #LI-ASSOCIATE #LI-HYBRID