Zenith Insurance Company (United States) · 5 hours ago
Senior Claims Specialist, Workers' Compensation
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Responsibilities
Under limited direction, works within broad limits and authority on highly complex assignments.
Responsible for Claims management of assigned case load within guidelines of published performance standards.
Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
Sets appropriate reserves according to Zenith’s timeframes and guidelines.
Follows appropriate procedures for system documentation to preserve data integrity.
Monitors and maintains accuracy of reserves over the life of the claim; when new information is received re-evaluates and recommends reserves according to Zenith’s standards.
Creates and executes action plans needed to bring case to closure.
Completes detailed settlement evaluations and recommends appropriate settlement value, within authority; negotiates claim settlements with injured workers and/or injured workers’ attorneys.
Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility.
Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
Works productively and harmoniously with others on a consistence basis.
Respond positively to direction and criticism of performance.
Consistently maintain professional and appropriate demeanor.
Perform other duties as assigned.
Qualification
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Required
High School Diploma Or equivalent required
Bachelor’s Degree equivalent combination of training/experience required
4-5+ Years Workers’ Compensation Claims handling experience required
Must have experience handling California WC claims
Advanced technical workers’ compensation Claims knowledge.
Strong verbal and written communication skills with emphasis on telephone communication required.
Strong math and reading skills required.
Meets all state regulatory standards regarding licensing, continuing education, and other requirements.
Preferred
Carrier experience preferred
Benefits
Medical, Dental and Vision Insurance
Flexible Spending Accounts
Paid Parental Leave
Life, AD&D and Disability Insurance
401(k), Employee Share Purchase Plan (ESPP)
Education and Training Reimbursement
Paid Leave: 3 weeks/year Vacation, 2 weeks/year Sick Leave
10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
Employee Assistance Program (EAP)
Company
Zenith Insurance Company (United States)
Zenith is the premier specialist in workers’ compensation nationally, and a leader in property and casualty insurance for the California agriculture industry.