Workers Compensation Claims Handler

Profile

Workers' Compensation Claims Handler

The candidate will document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity. Exercise judgment to determine liability 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. Should have Bachelor’s Degree and 6+ years of experience in the Claims and/ or Litigation Management area. OR Juris Doctor and 2+ years of experience in the Claims and/ or Litigation Management area OR Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area OR Completion of Zurich Claims Training Program and 6+ years of experience in the Claims and/ or Litigation Management area OR High School Diploma Equivalent and 8+ years of experience in the Claims and/ or Litigation Management area AND Must obtain and maintain required adjuster license(s). Experience collaborating in a team environment and building cross functional working relationships is preferred.

Additional Information

Req ID: 96063

Company info

Zurich Insurance Company Ltd
3249 Quality Drive Floors 1, 2, 3
Rancho Cordova
California
United States 95670
Website : http://www.zurich.com/