Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

Zurich Canada is seeking a Complex Claims Specialist to manage simple or multi-party, high-exposure, and high-complexity claims within established authority limits, ensuring efficient and effective resolution while providing client-centric service. You will play a key role in investigating, evaluating, and settling complex claims, offering technical support, and contributing to process improvements. This role also involves acting as a subject matter expert, contributing to the development and mentoring of other claims professionals.

Responsibilities

Manage personal and commercial claims, involving one or more parties, of moderate to high complexity, within delegated authority limits, providing client-centric service.
Accurately document and maintain claim files in accordance with Zurich's best practices and policies.
Investigate claims by gathering facts, applying relevant laws and principles of negligence, and determining liability and coverage.
Develop and implement claim handling strategies, including evaluation, action plans, timely escalation, reserving, and damage assessment to achieve effective resolution.
Negotiate settlements within authority limits using appropriate strategies, tools, and resources.
Ensure quality and compliance with internal guidelines, policies, and regulatory requirements.
Support marketing and client relationship management activities as needed.
Ensure compliance with claims policies, procedures, systems, and processes.
Analyze data to identify trends, opportunities for improvement, and recommendations for the claims function.
Drive improvements to systems and processes to increase efficiency and quality of customer service.
Provide technical support and act as a subject matter expert for complex files, contributing to precedent setting and improved outcomes.
Develop and manage relationships with key internal and external stakeholders, ensuring alignment on claims issues.
Serve as a technical resource for the team and internal clients, maintaining up-to-date expertise to support claims operational management.
Mentor, coach, and support the development of team members.

Requirements

Bachelor's degree and at least 6 years of experience in liability claims OR Juris Doctor (JD) degree and at least 3 years of experience in liability claims.
Obtain and maintain an AMF adjuster license for Quebec (commercial lines).
Proficiency in spoken and written French.
Proficiency in spoken and written English to facilitate communication with internal and external stakeholders outside of Quebec.
Strong communication and analytical skills.
Proficiency in Office 365 suite.
Demonstrated ability to manage a complex workload and meet deadlines in a dynamic environment.
Experience working within a collaborative team and with different work groups.
Demonstrated ability to coach and provide technical support to other claims professionals.

Skills

Claims management
Liability claims
Complex claims
Client-centric service
Technical support
Process improvement
Subject matter expert
Mentoring
Communication skills
Analytical skills
Negotiation
Relationship management
Coaching

Location

Canada

Work Type

Hybrid

Experience Level

6+ years
3+ years

Education Level

Bachelor's degree
Juris Doctor (JD)

Salary/Compensations

$84,000 - $131,000

Benefits

Comprehensive benefits package with varying levels of coverage.
Competitive total rewards program.
Minimum of four weeks of vacation per year.
Four personal days per year.
Access to a wide range of training and development opportunities.

About the Company

Zurich Canada is part of Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees globally, serving customers in global and local markets.
Zurich Canada is a leading provider serving mid-sized and large businesses, including multinational corporations, in the Canadian commercial insurance market for 100 years.
With over 650 employees across offices nationwide, Zurich offers the strength of a global insurer combined with deep knowledge of local industries and markets.
Zurich Canada aspires to be the first choice for risk management professionals as a go-to partner to help them navigate today's and tomorrow's risk challenges.
Zurich is proud of its culture, passionate about Diversity, Inclusion, Equity, and Belonging (DIEB).
Zurich fosters a collaborative culture where diverse viewpoints are valued.
Zurich cares about employee well-being.
Zurich is committed to continuous improvement.
Zurich cares about its communities.
Zurich has won numerous awards for its corporate culture, including being named one of the Greater Toronto Area's Top Employers and receiving the 5-Star Diversity, Equity & Inclusion award from Insurance Business Canada.
Zurich North America has over 148 years of experience managing risk and supporting resilience.
Zurich is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
Zurich serves more than 25 industries and insures 90% of the Fortune 500®.
Zurich strives to provide ongoing career development opportunities and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and people feel a sense of belonging.

Equal Opportunity

Zurich is committed to pay equity.
Zurich is committed to providing a diverse, inclusive, and barrier-free environment resulting in an accessible organization for employees, customers, and other parties who interact with, or on behalf of, Zurich.
We strive to achieve a workplace free of discrimination of all forms, including discrimination on the basis of physical or mental disability, or medical condition.
If you are interested in a job opportunity, please advise if you require an accommodation, so we can work with you to provide a more accessible process.