Claims Management Clerk (Canada)

Claims Management Clerk (Canada)

24 Oct
|
Zurich 56 Company
|
Canada

24 Oct

Zurich 56 Company

Canada

Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? If you have experience handling Accident Benefit, Automobile Bodily Injury or Property Damage claims, and are looking for a new challenge, we would love to hear from you. Zurich Canada is currently looking for a Claims Specialist in our Toronto office or Waterloo office. Reporting to the Senior Claims Manager, you will handle Accident Benefits claims for commercial and personal lines insureds of low to moderate exposure and complexity within specific limits of authority. You will follow established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer‑centric claims service. The job’s core deliverables rely on delivering service to external clients and customers. The role involves building relationships, promoting Zurich, and focusing on excellent customer service with proactive communication to keep customers informed at all stages of the claim. Zurich Canada uses artificial intelligence–enabled tools to support certain aspects of the recruitment process, including the initial review and screening of applications. Artificial intelligence is not the sole basis for candidate shortlisting or selection. Zurich follows a hybrid work model requiring three days per week of in‑person presence, which may include time in the office or market-facing engagements. The position is currently based in Waterloo, with plans to relocate to our new Kitchener office when it opens in early 2027. Handle Accident Advantages claims in good faith and in accordance with legislative requirements and best practices. Serve as the primary contact for injured claimants by delivering professional,



empathetic guidance through the end‑to‑end Accident Benefits process, ensuring regulatory compliance, and proactively collaborating with medical partners to optimize client recovery outcomes. Handle Accident Benefits claims up to the non‑catastrophic limits. Handle minor to moderate loss transfer claims. Determine priority for commercial and personal lines accident benefit claims. Document claim files by accurately capturing and updating claims data/information in compliance with best practices for single and multi‑party personal or commercial line claims of minor to moderate exposure and complexity, including LAT disputes. Perform policy verification and coverage determination by analyzing applicable coverage 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. Maintain quality standards by following best practices.



Bachelors Degree and 2 or more years of experience in the Claims or Insurance area Zurich Certified Insurance Apprentice including an Associate Degree and 2 or more years of experience in the Claims or Insurance area High School Diploma or Equivalent and 4 or more years of experience in the Claims or Insurance area Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area Must obtain and maintain required adjuster license(s) Microsoft Office experience Knowledge of insurance regulations, markets and products 1–2 years of experience in accident benefit claims handling claims within the MIG and up to the non‑catastrophic limits. ~ Experience handling Income Replacement Benefit claims. ~ Experience with claims reviews and presenting to various stakeholders. ~ Understanding of the claims adjustment process and ability to determine scope/exposure for losses. ~ Strong customer service experience. ~ Proficiency with Office 365 productivity tools and apps. ~ Completed or actively pursuing the Canadian Insurance Institute (CIP) designation. At Zurich Canada, we are committed to pay equity. We determine compensation based on objective criteria such as skills, experience, and internal equity. This range reflects the expected pay for the role across Canada and may vary depending on factors like office location, specific responsibilities, and individual qualifications. As required by local law, Zurich provides in good faith a reasonable compensation range, but starting salaries may exceed this range based on a candidate’s skills and experience. We are passionate about Diversity, Inclusion, Equity and Belonging (DIEB). 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. We have a collaborative culture where diversity of thought is valued. 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 t

📌 Claims Management Clerk (Canada)
🏢 Zurich 56 Company
📍 Canada

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