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The Opportunity
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
Job Qualifications - What you bring to the table
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