Claims Specialist - Toronto

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for low to moderate exposure and complexity for commercial liability claims
• Exercise judgement to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence
• Exercise judgement 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 damage or range of damages
• 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
• Responsible for data integrity and the appropriate documentation of the claim's file as well as for compliance with regulatory notification requirements
• Accountability in customer satisfaction and execute on our strategy to provide the best claims service in the commercial insurance business
• Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and special handling instructions
• Manage expenses by working within vendor approved networks and managing scope of work assigned to outside vendors.
• Ensure legal compliance by following provincial, federal laws and regulations and internal control requirements
• Refer claim to subrogation and INS 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

• Bachelor's degree or college Diploma in a relevant field, or equivalent work experience and 2 or more years of experience in general liability or auto bodily injury claims
• Good knowledge of insurance claims
• Good knowledge of how to evaluate bodily injuries and property damage using appropriate case law
• General knowledge of automobile insurance policy wordings and products
• General knowledge of the coverage available under the commercial general liability policy and some common exclusions
• Results driven, ability to multi-task, pay attention to detail and follow procedures
• Proven leadership and time management skills in a team environment
• Excellent writing and presentation skills

• 3-4 years of experience in general liability or auto bodily injury claims
• Experience in handling premises liability claims
• Experience with claims reviews and presenting to various stakeholders.
• Experience maintaining relationships with our brokers, underwriting partners, and other business functions.
• Strong analytical, critical thinking and problem-solving skills.
• Strong verbal and written communication skills.
• Understands claims adjustment process and possesses ability to determine scope/exposure for losses.
• Understands and applies financial and actuarial/reserving concepts.
• Familiarity with negotiation strategies and experience in suggesting alternative approaches.
• Ability to manage a pending and multi-task, strong organizational and time management skills.
• Strong customer service experience.
• Proficient with Office 365 productivity tools and apps.
• Completed or actively pursuing the Canadian Insurance Institute (CIP) designation.

• At Zurich, we are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DEIB). 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.

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