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Claims Specialist - Property & Engineering

135438

Job Summary

With moderate direction, handles single and multi-party personal or commercial line claims of moderate 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.

Job Accountabilities - Key Accountabilities

  • Document claims file by accurately capturing and updating claims data/information.
  • To determine liability by gathering and analyzing relevant factsAnalyse and determine policy coverageWork 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 the claims cycle within authority limits Assess damagesNegotiate settlement of claim by establishing an appropriate negotiation strategy.
  • Meet quality standards by following best practices.
  • Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols
  • Aligned to the organization's Claims Vendor Management strategy.
  • Ensure legal compliance by following laws and regulations and internal control requirements.
  • Refer claim to subrogation and fraud teams
  • 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.
  • Understand the current with industry trends and establish personal networks and participate in professional societies.
  • Manage litigation by assigning counsel within the approved panel where applicable.

Job Qualifications

Required:

  • Bachelor's Degree in Insurance, Risk Management, Engineering, Quantity Surveying, Construction Management, Business Administration, or a related field.
  • Minimum 2–5 years of experience in Property and/or Engineering Claims handling within the insurance industry.
  • Experience managing end-to-end claims processes, including investigation, assessment, negotiation, and settlement.

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