With moderate direction, handles single and multi-party personal or commercial line 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
Document claims file by accurately capturing and updating claims data/information
Determine liability by gathering and analyzing relevant facts
Analyse and determine policy 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 the claims cycle within authority limits
Negotiate settlement of claim by establishing an appropriate negotiation strategy
Meet quality standards by following best practices
Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols aligned to the organization's Claims Vendor Management strategy
Ensure legal compliance by following laws and regulations and internal control requirements
Refer claim to subrogation and fraud teams
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
Understand the current with industry trends and establish personal networks and participate in professional societies
Job Qualifications
Required:
Diploma or Degree in Business, Insurance, or related fields
Attention to detail, problem-solving, communication, and proficiency in Excel and claims management systems
At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?