Senior Claims Specialist Workers Compensation
Senior Claims Specialist Workers Compensation
Posted on :
05-04-2025
Employer Active
1 Vacancy
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Monthly Salary
$ 75772 - 102207
Vacancy
1 Vacancy
Posted on :
05-04-2025
Job Description
A Brief Overview
Investigate analyze and determine the extent of companys liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists agents witnesses or claimants to compile information. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zeniths superior Claims handling expertise.
This role is eligible to participate in Zeniths REMOTE work schedule. Must have experience handling California WC claims.
Preferred locations: Portland OR Phoenix AZ Seattle WA or Las Vegas NV
What you will do
- 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 threepoint contact and performs needed investigations to determine compensability as well as possible subrogation or apportionment according to state and/or Zeniths timeframes and guidelines.
- Sets appropriate reserves according to Zeniths 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 reevaluates and recommends reserves according to Zeniths 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.
Education Qualifications
- High School Diploma Or equivalent required
- Bachelors Degree equivalent combination of training/experience required
Experience Qualifications
- 45 Years Workers Compensation Claims handling experience required
- Carrier experience preferred
- Must have experience handling California WC claims
Skills and Abilities
- 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.
- Qualified candidates may have previously held the title of Claims Adjuster Claims Examiner or Claims Handler.
The expected salary range for this position is $75772.73 to $102207.94. Actual pay will be adjusted based on experience geographic location and other jobrelated factors as permitted by law. Qualifications may warrant placement in a different job level.
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)
For more information review details on the Benefits page of our Career Site: typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions we encourage you to submit your application promptly.
Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race color religion sex sexual orientation gender identity national origin disability protected veteran status or any other legally protected characteristic. In compliance with California law we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008 we will consider qualified applicants with criminal histories in a manner consistent with the law. Additionally in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance we will not inquire about an applicants criminal history until after a conditional offer of employment has been made.
If you are a qualified individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability you are entitled to request an accommodation. To make a request please contact a Human resources representative at Zenith Insurance Company.
#LIEF1
#LIRemote
Required Experience:
Senior IC
Employment Type
Full-Time
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