Claims Specialist I - Auto

Profile

Claims Specialist I - Auto
Responsibilities: Documenting 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. Exercising judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence. Exercising judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage. Working to have a timely resolution to claims by developing a case strategy; developing a case evaluation; escalating issues as appropriate. Establishing timely reserves and performing ongoing reviews throughout the claims cycle within the authority limit by estimating and validating the value of claims. Assessing damages by calculating applicable damages or the range of damages allowed by law. Negotiating settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. Ensuring customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts. Ensuring legal compliance by following state and federal laws and regulations and internal control requirements. Referring claims to subrogation and fraud teams by identifying potential subrogation and fraud. Responding to inter-company arbitrations through Arbitration Forums.

Qualification and Experience

Qualifications: Juris Doctor and 1+ years of experience in the Claims Handling or Insurance area, Or 1+ years in the Claims Foundational Training Program, Or Bachelor’s Degree and 2+ years of experience in the Claims Handling or Insurance area, Or Zurich Certified Insurance Apprentice including an Associate Degree with 2+ years of experience in the Claims Handling or Insurance area, Or High School Diploma or Equivalent and 4+ years of experience in the Claims Handling or Insurance area and must obtain and maintain required adjuster license(s). Customer service experience. Preferred Qualifications: Experience collaborating across work groups. Microsoft Office experience. Analytical skills. Negotiation skills. Strong verbal and written communication skills. Organization skills and time management skills.

Company info

Hiring Coordinator
Zurich Insurance Company Ltd
1400 American Lane
Schaumburg, IL 60196
Phone: 847-605-6000