Senior TPA Specialist

Zurich Insurance is currently looking for a Sr. TPA 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. 

This position will oversee complex Liability claims handled by external TPAs on behalf of Zurich insureds and Captives nationwide. This supervisory oversight position works with minimal direction at high authority levels on assignments reflecting technical complexity. The position requires excellent technical skills as well as product and industry knowledge and is recognized as a technical consultant and advisor both within and outside the company. The Sr TPA Specialist analyzes highly complex coverage situations, evaluates high exposure claims, seeks/grants authority, assigns/explains reserves to senior management and customers, and assists/directs TPA adjusters to resolve claims according to US Best Practices.

The Sr. TPA Specialist regularly communicates with TPAs, customers, brokers, Business Unit Underwriters and representatives, TPA Operations, Claims Legal, Corporate Law, and Senior Management to facilitate and ensure the resolution of a variety of high exposure liability claims including Trucking, Auto, UM/UIM, PIP, Employers Liability, Excess claims, Premises, and Product Liability claims.

The ideal candidate will have a strong background in complex coverage analysis, prior experience in a managerial role, and prior experience in handling trucking claims. Also important is demonstrated organizational and time management skills, proven diary management skills and must be able to document claim files by accurately capturing and updating claims data/information in compliance with best practices. They must also be able to establish timely and accurate reserves and perform ongoing reassessments throughout the claims cycle while providing guidance and leadership to the TPA adjusters.

Basic Qualifications:

• Bachelor’s Degree and 8 or more years of experience in the Claims Technical area.
  OR
• High School Diploma or Equivalent and 10 or more years of experience in the Claims and/or Litigation Management area
  OR
• Zurich approved Apprenticeship program including an Associate Degree and 8 or more years of experience in the Claims and/or Litigation Management area
  AND
• Must obtain and retain required adjuster licenses
• Microsoft Office experience
• Knowledge of insurance regulations, markets, products and coverage
• Be able to travel up to 10%

Preferred Qualifications:

• 8 or more years of National GL claims experience including at least 4 years of Large Loss claims and coverage experience in drafting ROR and disclaimer letters on additional insured and contractual indemnity issues
• AIC, SCLA or CPCU
• Bilingual (Spanish)
• Effective verbal and written communication skills
• Strong analytical, critical thinking and problem-solving skills
• Self-starter with ability to oversee work and projects from start to finish with minimal supervision
• Able to work on multiple projects simultaneously in a fast-paced environment
• Experience collaborating in a team environment and building cross functional working relationships
• Able to present information effectively and succinctly to senior leaders, BU and customers
• Able to direct and control legal actions and expenses, negotiations, and trial strategy on large complex auto and casualty claims in accordance with Zurich Best Practices
• Ability to direct defense counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
• Able to analyze coverage issues and interaction between laws of various states, recommend and implement strategies
• Experience with coverage issues involving analyzing jurisdictional and service of process issues for lawsuits
• Demonstrated understanding of additional insured and contractual indemnity issues.
• Ability to analyze and effectively communicate complex coverage determinations to customers/clients/brokers for catastrophic claims
• Able to explain deductible billing and reinsurance on GL insurance programs and able to explain the difference between SIRs and deductibles
• Proven ability in coordination of coverage disputes and claims handling with co-defendants and other carriers
• Ability to determine the scope and exposure for complex claims.
• Ability to follow reserving process for indemnity and expense in analyzing the exposure of a broad variety of complex claims
• Able to provide guidance and grant authority on moderate to large exposure GL claims
• Able to interface with large commercial customers, brokers, and underwriters to ensure good communication flow, risk insight, and trend identification
• Contribute to profitable growth by providing risk insight, information and trends to BU or customer as needed
• Experience with claim reviews involving underlying carriers, TPAs, and large customers
• Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks
• Serve as technical resource by mentoring lower-level claims professionals and sharing technical knowledge related to specific LOB expertise.
• Contribute to the team effort by accomplishing related results, providing backup, and participating on projects as needed
• Good interpersonal skills with ability to motivate others in a team approach to obtain desired results and experience in a work environment that requires collaboration across work groups

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 pay range shown is a national average and may vary by location. The proposed Salary range for this position is $100,200.00 - $164,100.00, with short-term incentive bonus eligibility set at 20%.

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 - Remote Work (US), AM - Illinois Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No 
 
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