Claims Specialist or Senior Claims Specialist managing moderate to high complexity commercial property claims at Zurich Canada in a supportive, values-driven workplace.
Responsibilities
Document the claim file by accurately capturing and updating data/information in accordance with best practices for commercial claims with moderate to high exposure and complexity.
Use judgment to review policies and determine coverages by analyzing applicable terms and assessing whether the claim is covered.
Work toward prompt claim resolution by developing a file strategy, performing evaluations, and escalating issues as needed.
Establish timely reserves and conduct ongoing review throughout the claim lifecycle, within your authority, by estimating and validating claim values.
Meet quality standards by following best practices.
Deliver customer service through proactive communication, responding to inquiries, following client protocols, and participating in marketing efforts as required.
Manage expenses by working within approved vendor networks and controlling the scope of work assigned to external service providers.
Contribute to profitable growth by providing risk insights, trend analysis, and reporting to the business unit or client as needed.
Maintain professional and technical knowledge by participating in training opportunities, staying current on industry trends, networking, and engaging with professional associations.
Requirements
Bachelor's degree and 3 or more years' experience in claims or insurance OR
Zurich Certified Insurance Apprentice, including an associate diploma, and 3 or more years' experience in claims or insurance OR
Completion of the Zurich Claims training program and 3 or more years' experience in claims or insurance OR
High school diploma or equivalent and 5 or more years' experience in claims or insurance AND
Obtaining and maintaining the required claims adjuster license
Knowledge of insurance regulations, markets, and products
Proficiency in Microsoft Office
Benefits
Comprehensive health/benefits plan with multiple coverage levels
Accident Benefits Claims Specialist managing complex automobile claims for Intact, a Canadian insurance provider. Investigating, negotiating, and resolving claims while supporting Alberta’s Care - First reform transition.
Claims Processor evaluating and processing pet insurance claims for Pets Plus Us across Canada. Reviewing veterinary histories, policy eligibility, coverage, and compensation decisions.
Senior claims specialist analyzing, negotiating, and settling auto and general liability claims. Supporting clients, brokers, litigation, and Independent Adjusters for Canadian TPA Helmsman.
Bodily Injury Claims Adjuster investigating, negotiating and settling complex claims for U - Haul Canada. Managing litigated files, vendors, reserves and coverage issues through resolution.
Part - time Claims Specialist recovering carrier payments for Logistics Alliance, which moves freight for Canadian retailers and manufacturers. Investigating loss, negotiating disputes, and managing claims through payment.
Building Damage Adjuster managing residential insurance claims for Square One Claims Inc. Treating customers with empathy while ensuring efficient claims processing.
Claims Adjuster managing property and multiline claims for ClaimsPro in a hybrid environment. Engaging in active claims adjustment and business development opportunities in Surrey, BC.
Claims Specialist providing efficient claims service for various Lloyds accounts, managing complex liability claims and directing adjusters throughout their investigations.
Quality Analyst overseeing and providing feedback on Disability claim processes at Sun Life. Collaborating with teams to ensure operational consistency and meet service levels.