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Zurich NA TPA Specialist in Helena, Montana

TPA Specialist

82671

Zurich Insurance is currently looking for two TPA Specialists in Complex Claims. These positions may work out of Zurich’s U.S. based offices including posssibly virtual for the right candidate. This is a position that will oversee moderate to complex Liability claims handled by external TPAs on behalf of Zurich insureds and captives nationwide. This supervisory oversight position works with minimal direction at high authority levels on assignments reflecting a high degree of technical complexity. The position requires superior technical skills as well as product and industry knowledge and is recognized as a technical consultant and advisor both within and outside the company. The TPA Specialist analyzes coverage, evaluates exposure, seeks/grants authority, assigns/explains reserves, and assists/directs TPAs to resolve claims according to US Best Practices within authority limits.

The TPA Specialist regularly communicates with TPAs, TPA Ops, Corporate Law, Claims Legal, customers, brokers, BU representatives, and Senior Management around the global network to facilitate and ensure the resolution of a variety of liability claims including premises, product liability, auto, trucking, EL, dram shop, UM/UIM, PIP, and XS claims. The individual will be dedicated to specific accounts and will serve as liaison with Zurich’s BUs.

This position may also occasionally handle and oversee moderate to complex Auto, Liability, and possibly some IP claims on behalf of Zurich insureds and captives. TPA Oversight and International Programs knowledge and experience is preferred.

Additional Responsibilities May Also Include:

  • Self-starter able to oversee work and projects from start to finish with minimal supervision

  • Demonstrated organizational and time management skills and able to work independently on multiple projects simultaneously in a fast-paced environment

  • Proven diary management skills and able to document claim files by accurately capturing and updating claims data/information in compliance with best practices

  • Experience with resolution of coverage issues, DTA, reserving, analyzing jurisdictional and service of process issues for lawsuits developing case defense strategy, and managing overall file direction and resolution on national basis

  • Able to direct and control legal actions and expenses, negotiations, and trial strategy on large casualty claims in accordance with Zurich Best Practices

  • Able to analyze complex coverage issues and interaction between laws of various states, recommend and implement strategies with 3 or more years of experience in drafting ROR and disclaimer letters on additional insured and contractual indemnity

  • Proven ability in coordination of coverage disputes and claims handling with co-defendants and other carriers

  • Able to effectively present complex information effectively and succinctly to senior leaders, BU and customers

  • Able to interface with large commercial customers, brokers, and underwriters to ensure good communication flow, risk insight, and trend identification

  • Experience with claim reviews involving underlying carriers, TPAs, and large SIR customers and ability in account claim service coordination and customer relationship management

  • Able to provide guidance and grant authority on complex large exposure GL claims

  • Able to explain deductible billing and reinsurance on GL insurance programs and able to explain the difference between SIRs and deductibles

  • Establish timely and accurate reserves and perform ongoing reassessments throughout the claims cycle

  • Superior interpersonal skills with ability to motivate others in a team approach to obtain desired results and experience in a work environment that requires collaboration across work groups

  • Contribute to the team effort by accomplishing related results, providing backup, and participating on projects as needed.

  • Willingness to embrace the Zurich Basics of Integrity, Sustainability, Customer Centricity, Excellence and Teamwork

  • Serve as technical resource by mentoring lower-level claims professionals and sharing technical knowledge related to specific LOB expertise.

  • Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks.

  • Directly related insurance designation such as CPCU, SCLA, AIC

  • Excellent computer skills in variety of software including Claims Connect, EZaccess,

  • Workbench, ZDW, Word, Excel

Basic Qaulifications:

  • Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management areaOR

  • Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management areaOR

  • Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management areaOR

  • Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management areaOR

  • High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management areaAND

  • Must obtain and maintain required adjuster license(s)

  • Microsoft Office experience

  • Knowledge of insurance regulations, markets and products

Preferred Qualifications:

  • Effective verbal and written communication skills

  • Strong analytical, critical thinking and problem-solving skills

  • Strong multi-tasking and prioritization skills

  • Experience collaborating in a team environment and building cross functional working relationships

  • Proactively shares and promotes sharing of insights

  • Ability to gather unique perspectives from other teams/functions to optimize outcomes

  • Understands, analyzes, and applies the component parts of an insurance policy for complex claims

  • Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims

  • Ability to determine the scope and exposure for complex claims

  • Ability to leverage trend and relationships to provide high-quality customer service

  • Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts

  • Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims

  • Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

As a condition of employment at Zurich, employees must adhere to our COVID-related health and safety protocols ( https://www.zurichna.com/careers/faq ), including, without limitation, a requirement that employees attest as to their vaccination status with a YES/NO, and upload proof of vaccination status, or negative COVID test results when allowable, to a third-party vendor. These are continuously re-evaluated and the requirements may change at any time.

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. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we 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 colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here (https://www.zurichna.com/careers) to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Remote Work (US)

Remote Working: Yes

Schedule: Full Time

Linkedin Recruiter Tag: LI-MM1

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