Sr. TPA Specialist, Complex Claims

Zurich Insurance is currently looking for a Sr TPA Specialist. 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:

• Bachelors Degree and 8 or more years of experience in the Claims Technical area
  OR
• Juris Doctor and 4 or more years of experience in the Claims and Litigation Management area.
  OR
• High School Diploma or Equivalent and 10 or more years of experience in the Claims and/or Litigation Management area
  OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 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
  
  Preferred Qualifications:

• AIC, SCLA or CPCU
• 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.

At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is $98,300.00 - $161,000.00, with short-term incentive bonus eligibility set at 20%. 

As an insurance company, Zurich is subject to 18 U.S. Code § 1033. 
 

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.

Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. 

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