OpportunityZurich Canada is searching for a Senior Claims Specialist, Personal Lines Accident Benefits to handle single and multi‑party commercial lines and personal lines claims of low to high exposure and complexity in Toronto or Waterloo. Reporting to the Claims Team Manager, you will ensure claims are handled efficiently and effectively while delivering a customer‑centric service.Hybrid work model: three days per week in‑person, with time in the office or market‑facing engagements.What you will doHandle personal lines accident benefit claims in good faith and in accordance with legislative requirements and best practices.Handle moderate to complex loss transfer claims.Determine priority for commercial and personal lines accident benefit claims.Document claims files by accurately capturing and updating claims data in compliance with best practices for single and multi‑party personal line claims of moderate to high exposure and complexity, including LAT disputes.Exercise judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law, and establishing basic principles of negligence.Perform policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within accident benefits coverage.Develop case strategies and evaluations to ensure timely resolution of claims, escalating issues as appropriate.Establish timely reserves and perform ongoing reviews throughout the claims cycle within authority limits by estimating and validating the value of claims.Assess damages by calculating applicable damages or range of damages allowed by law.Negotiate settlements by establishing appropriate negotiation strategies and utilizing available tools and resources within authority limits.Maintain quality standards by following best practices.Job QualificationsBachelor’s Degree and 3 or more years of experience in the Claims or Insurance area (or equivalent).Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area.Completion of Zurich Claims Training Program and 3 or more years of experience in the Claims or Insurance area.High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area.Knowledge of insurance regulations, markets, and products.Microsoft Office experience.Preferred SkillsMinimum 3 years of experience handling personal lines accident benefit claims.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 setting and building cross‑functional working relationships.Proficiency in identifying and explaining complex financial and/or actuarial concepts.Ability to determine the scope and exposure for moderately complex claims.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.CompensationThe salary range for this position is $75,000 – $115,000. Zurich pays base salary and other benefits in accordance with local laws.Zurich Canada is committed to pay equity. Compensation is based on objective criteria such as skills, experience, and internal equity.#J-18808-Ljbffr

📌 Senior Claims Specialist, Personal Lines Accident Benefits - C$75,000 - C$115,000 A Year (Winnipeg)
🏢 Zurich Canada
📍 Winnipeg