Workers Compensation, Litigated, Claims Specialist II

Zurich North America is seeking a sharp, solutions-driven Workers’ Compensation Litigated Claims Specialist II to join our high-performing team. This is an opportunity to make meaningful impact at a company known for innovation and excellence in the insurance industry. We are hiring in three dynamic locations: Schaumburg, IL (hybrid schedule), Indianapolis, IN (fully remote) or Ohio (fully remote).

We are seeking a candidate with proven expertise in managing litigated workers’ compensation claims in the following jurisdictions: Indiana, Illinois, Michigan and/or Ohio. This multi-state experience is essential to effectively support our regional claims operations and drive strong outcomes.

In this position you will manage Worker’s Compensation multi-party commercial line claims of moderate to high 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.

 In this role you will be responsible for:

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for worker’s compensation claims of moderate to high exposure and complexity.
• Exercise judgment to determine compensability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
• Work 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 claims cycle within authority limit by estimating and validating value of claims.
• Assess damages by calculating applicable damages or range of damages allowed by law.
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
• Meet quality standards by following best practices 

Basic Qualifications: 

• Bachelor degree and 3 or more years of experience in the Claims or Insurance area
  OR
• Zurich Certified Insurance Apprentice, including an associate degree with 3 or more years of experience in the Claims or Insurance area.
  OR
• Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area
  OR
• High School Diploma Equivalent and 5 or more years of experience in the Claims or Insurance area.
  AND
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Preferred Qualifications: 

• 5+ years of experience handling Litigated Workers Compensation claims
• Professional experience working for an insurance carrier(s)
• Experience handling commercial claims
• Highly preferred Jurisdictions in the following states: IL, IN, MI and OH
• Spanish/English bilingual candidates preferred
• Exceptional verbal and written communication skills, with the ability to clearly convey complex coverage determinations to clients, customers, and brokers.
• Analytical thinker with strong problem-solving, critical thinking, and financial acumen; skilled in interpreting insurance policies, evaluating exposure, and identifying actuarial trends.
• Adept at multi-tasking and prioritization in fast-paced environments, with a proactive approach to sharing insights and optimizing outcomes across functions.
• Proven ability to collaborate across teams, build cross-functional relationships, and leverage diverse perspectives to improve claim outcomes.
• Experienced in guiding complex litigated claims, including directing counsel, managing litigation strategy, and following best practices for reserving indemnity, medical, and expense components.

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 $58,700.00 - $96,200.00, with short-term incentive bonus eligibility set at 10%

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 - Indiana Virtual Office, AM - Ohio Virtual Office, AM - Schaumburg
Remote Working: Hybrid
Schedule: Full Time
Employment Sponsorship Offered: No  
 
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