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Zurich NA Claims Quality Sr. Specialist in Maitland, Florida

Claims Quality Sr. Specialist


Zurich is currently hiring for a Claims Quality Sr. Specialist 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. 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:

• Auto liability and property.

• Operational Efficiency.

• Customer Satisfaction.

• Compliance.

• Personal Professional/technical competency and development.

• Compliance with customer protocols/service charter.

Job Qualifications:


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


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


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


• Knowledge of business and compliance practices in the insurance industry


  • Technical Claims experience in General Liability, Auto Liability and Bodily Injury, or Property Coverage

  • Strong communication and negotiation skills

  • Effective conflict resolution, presentation and project management skills

  • Auditing experience

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 identity, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Location(s): AM - Schaumburg, AM - Atlanta, AM - New York, AM - Overland Park, AM - Dallas, AM - Parsippany, AM - Rancho Cordova, AM - Addison, AM - Rocky Hill, AM - Maitland, AM - Owings Mills

Remote Working: No

Schedule: Full Time

Hiring Manager name: Lullie Allison

Recruiter name: Schulze Jennifer

Reward Level: 5T


​Referral Bonus:$2,500.00