Zurich NA Claims Specialist II in Montréal, Canada
Claims Specialist II
Handle General Liability and Specialty claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
- Juris Doctor and 2 or more years of experience in the Claims and Litigation area within the Insurance industry
- Bachelor’s Degree and 4 or more years of experience in the Claims and Litigation area
- High School Diploma or Equivalent and 5 or more years of experience in the Claims and Litigation area within the Insurance industry
Knowledge of the insurance industry, claims and the insurance legal and regulatory environment
Knowledge of claims handling or insurance legal statutes and procedures
Ability to interpret coverage on various liability policies
Customer service experience
Bilingual - fluent with both French and English languages
Licensed to handle claims in the Province of Quebec
3 or more years of claims experience in line of business
Strong communication skills
Ability to multi-task and adapt to a changing environment
Organization and time management skills
Experience collaborating across work groups
Microsoft Office experience
Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity personal or commercial line claims.
Exercise judgement 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.
Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts.
Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the insured.
Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.
Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
Protect Zurich’s reputation by keeping claims information confidential.
Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks, and participating in professional societies.
Business Travel, as required
Extended Hours during Peak Periods, as required
Pass Applicable Exam/Licensing, as required
Regular Predictable Attendance
Zurich is committed to providing a diverse, inclusive and barrier-free environment resulting in an accessible organization for employees, customers, and other parties who interact with, or on behalf of, Zurich. We strive to achieve a workplace free of discrimination of all forms, including discrimination on the basis of physical or mental disability, or medical condition. If you are interested in a job opportunity, please advise if you require an accommodation, so we can work with you to provide a more accessible process.
Primary Location: Canada-Quebec-Montréal
Travel Yes, 15 % of the Time
Job Posting 05/09/19
Unposting Date Ongoing
Req ID: 190003HX
It is the Policy of Zurich in North America, as an equal opportunity employer, to attract and retain the best-qualified individuals available, without regard to race/ethnicity, color, religion, gender expression, genetic information, national origin, sex, gender identity, sexual orientation, marital status, age, disability or protected veteran status.