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Claims Quality Consultant

89630

Zurich is currently hiring for a Claims Quality Consultant in our North America Offices: Schaumburg, IL; Dallas, TX; Rancho, CA; Atlanta, GA; Woodland Hills, CA; Omaha, NE; Overland Park; KS; Parsippany, NJ; Rocky Hill, CT. This is a hybrid position reporting into one of our Claims offices for up to 3 days a week. To coordinate the examination and the analysis of the quality of Claims handling for continuous improvement in the most effective and efficient way to support the delivery of a customer centric claims service in a manner which supports Zurich basics. 

 

Job Accountabilities: 

• To analyze and examine claims expertise through closed file review and open file reviews activities in order to identify and measure leakages and compliance issues in the claims assessment process. 

• To identify possible solutions to be developed in the improvement areas, in order to continuously enhance claims handling process, with particular reference on damages expertise. 

• To address solutions properly and translate them into Economic Value for the Company. 

• Consulting closely with assigned business partners and ensuring that all stakeholders are immediately aware of any important issues that are identified during the files review. 

• Adheres to local regulatory and governance requirements throughout the file review process to ensure that all information and data is obtained within data protection rules and regulations. 

• To assist in planning and secure the implementation of Claims Quality activity in order to achieve the targets predefined by senior management. 

• To assist in working with Business Divisions and Global Quality function in order to align local activities to global guidelines and best practices. 

• Execute the new Claims Quality framework aligning with the Business Division Quality Assurance function and colleagues. 

• Helps build and measure success against customer specific claims handling protocol and/or customer proposition service charter to ensure that we understand & fulfill the needs and expectations of our customers. 

• Any additional tasks as assigned. 

 

Business Accountabilities: 

• Utilize established financial systems to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency. 

• Prepare draft manuals for own Claims area based on the accepted changes to policies and procedure, to ensure they are up to date and reflect the new policies. 

• Research primary data sources, select relevant information, analyze key themes and trends and make recommendations to inform policy and/or product development. 

• Research, review and analyze claims handling protocol and/or customer proposition to support senior management in developing and improving processes and systems relevant to area or discipline. 

• Act as a technical expert in a process or product area, answering questions about what needs to be done in specific local situations to quickly resolve customer inquiries. 

• Provide specialist advice to address specific technical queries from internal clients and deliver appropriate solutions, in line with the organization´s policies and processes and regulatory requirements. 

• Support and work as a team member of projects in Claims management. 

 

Job Functions: 

To work towards and deliver both personal and business claims objectives, in line with the Zurich Global Claims Scorecard, supporting the delivery, accuracy and timely reporting on the following key objectives: 

• Financial Effectiveness. 

• Operational Efficiency. 

• Customer Satisfaction. 

• Compliance. 

• Personal Professional/technical competency and development. 

• Compliance with customer protocols/service charter. 

 

Job Qualifications: 

Required: 

• Bachelor’s Degree and 5 or more years of experience in Technical Claims, Claims or other Insurance area 

OR 

• Zurich Certified Insurance Apprentice including an Associate Degree with 5 or more years of experience in the Technical Claims, Claims or other Insurance area 

OR 

• High School Diploma or Equivalent and 7 or more years of experience in the Technical Claims, Claims or other Insurance area 

AND 

• Knowledge of business and compliance practices in the insurance industry 

 

Preferred: 

• Technical Claims experience in General Liability, Financial Lines, Latent & Environmental, or Surety.

• Strong communication and negotiation skills 

• Effective conflict resolution, presentation and project management skills 

• Auditing experience 

Competencies

Collaborate Together
Develop & Grow
Puts Customers First
Fuel Innovation
Motivational fit
Provide Clear Direction
Make it Happen
Building Trust
Engagement
Performance


As a condition of employment at Zurich, employees must adhere to our COVID-related health and safety protocols (https://www.zurichna.com/careers/faq), including, without limitation, a requirement that employees attest as to their vaccination status with a YES/NO, and upload proof of vaccination status, or negative COVID test results when allowable, to a third-party vendor. These are continuously re-evaluated and the requirements may change at any time.  
 
A future with Zurich. What can go right when you apply at Zurich?

 

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more.
 
As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet 
 
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. 
 
Location(s): AM - Schaumburg, AM - Atlanta, AM - Overland Park, AM - Dallas, AM - Parsippany, AM - Rancho Cordova, AM - Addison, AM - Omaha, AM - Rocky Hill, AM - Woodland Hills
Remote Working: No
Schedule: Full Time
 
Linkedin Recruiter Tag: #LI-JS1 


Nearest Major Market: Chicago

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