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Claims Specialist - Personal Lines
Claims Specialist - Personal LinesZurich Insurance Company • Waterloo, ON, CA
Claims Specialist - Personal Lines

Claims Specialist - Personal Lines

Zurich Insurance Company • Waterloo, ON, CA
30+ days ago
Job type
  • Full-time
Job description

The Opportunity

Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.

If you have experience in Auto claims, and are looking for a new challenge, we would love to hear from you.

Zurich Canada is currently seeking a Claims Specialist – Personal Lines Auto, based in either Montreal, Waterloo or Calgary. Reporting to the Claims Manager, Auto Personal Lines, you will handle 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.

This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters.

This is a hybrid work opportunity.

What you will do

  • 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.
  • Job Qualifications

    Required :

  • Bachelors Degree and 2 or more years of experience in the Claims or Insurance area
  • OR

  • Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area
  • OR

  • High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area
  • OR

  • Completion of Zurich Claims Training Program and 1 or more years of experience in the Claims or Insurance area
  • AND

  • Must obtain and maintain required adjuster license(s)
  • Microsoft Office experience
  • Knowledge of insurance regulations, markets and products
  • Prior experience in auto claims handling, insurance claims, or a related customer service field. Understanding of auto insurance policies, coverage, and regulations.
  • Preferred :

  • Bilingual in English and French is an asset
  • Effective verbal and written communication skills
  • Strong analytical, critical thinking, and problem-solving skills
  • Solid time management, prioritization and multi-tasking skills
  • Experience collaborating in a team environment and building cross functional working relationships
  • Adept in identifying and explaining complex financial and / or actuarial concepts.
  • Ability to determine the scope and exposure for moderately complex claims
  • Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims
  • Ability to develop and execute a negotiation strategy and plan for resolution
  • Ability to identify subtleties in customer / client and / or business partner interactions
  • Ability to present information necessary to propose a claim resolution to stakeholders
  • Fluency in both spoken and written English is required to facilitate communication with internal and external stakeholders outside Quebec.

    Our Culture

  • At Zurich, we are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DIEB). We want you to bring your whole self to work, and we want our employees to be reflective of the communities in which we live and work. Our DIEB initiatives are creating an environment where everyone feels welcome.
  • We have a collaborative culture where diversity of thought is valued. We value your input and strive to give our employees the tools they need to make an impact.
  • We care about our employees’ well-being and offer a comprehensive health / benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package.
  • We understand how important it is to rest, recharge and do the things you love. At Zurich, all employees receive a minimum of four weeks of vacation per year to do just that.
  • We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday, a cultural or religious holiday you would like to observe, or you need time off to focus on your mental health. Zurich employees receive four personal days per year to be used at their discretion.
  • We are committed to continuous improvement and offer access to a comprehensive range of training and development opportunities.
  • We care about our communities. Our communities are where our customers, people, and shareholders live and work. While we can be proud of the contribution to society Zurich makes through our core business of insurance, we must also give back to our communities through our talent, time and resources.
  • We have won numerous awards for our workplace culture. We are proud to be one of Greater Toronto’s Top Employers and to have received Insurance Business Canada’s 5-Star Diversity, Equity and Inclusion Award.
  • Make a difference. Be challenged. Be inspired. Be supported. Love what you do. Work for us.

    About Us

    Zurich Canada is part of the Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees worldwide serving customers in global and local markets. Zurich Canada has been a leading insurance provider serving mid-sized and large companies, including multinational corporations, in the Canadian commercial market for 100 years. With over 500 employees in offices across the country, Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets. Zurich Canada aspires to be risk management professionals’ first choice as their premier partner to help meet the risk challenges of today and tomorrow. Read more at .

    A future with Zurich

    Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 148 years of experience managing risk and supporting resilience. We are a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. Today, we serve more than 25 industries, from agriculture to technology and insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, Zurich strives to provide ongoing career development opportunities and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our people, our customers and the communities we serve.

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    Specialist Personal • Waterloo, ON, CA

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