Workers Compensation Claims Specialist- Arizona
Workers Compensation Claims Specialist- Arizona
Posted on :
16-03-2025
Employer Active
1 Vacancy
The job posting is outdated and position may be filled
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Job Description
A Brief Overview
Investigate analyze and determine the extent of companys liability concerning catastrophic claim exposures and attempt to resolve the case via sustainable return to work or settlement. Correspond with and personally meet with medical specialists agents witnesses or Injured Workers to compile information as needed and mitigate litigation. Calculate benefit payments and approve payment of Claims. All tasks are to be performed with the goal of demonstrating Zeniths superior Claims handling expertise and commitment to quality medical care.
Must reside in Arizona and have designations to handle Arizona Workers Comp claims.
What you will do
- Under broad management direction works at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination.
- 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 Zenith timeframes and guidelines.
- Creates and executes action plans needed to bring case to closure.
- Manages reassigned cases by identifying salient issues that are keeping the case from resolving and creating appropriate plans to resolve those issues.
- Identifies and coordinates the use of appropriate resources to help manage the claim.
- Onsite visits with Injured Workers family members and specialized medical providers to build rapport better understand issues impacting the claim and set rehabilitation expectations.
- 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.
- Completes detailed settlement evaluations and recommends appropriate settlement value within authority; negotiates claim settlements with injured workers and/or injured workers attorneys.
- Has working knowledge of MSA requirements and their impact on catastrophic Claims.
- Maintains regular contact with injured workers medical providers employers and agents to develop positive relationships mitigate litigation and establish credibility.
- Apply principles of critical thinking to define problems collect data establish facts and draw valid conclusions.
- Works productively and harmoniously with other experts on a consistent basis.
- Ability to effectively communicate and interact with Executive Claim Management on a regular basis as well as other field and corporate business partners.
- Respond positively to direction and feedback on performance.
- Consistently maintain professional and appropriate demeanor.
- Train and mentor less skilled Claims specialists as needed.
- Perform other duties as assigned.
Education Qualifications
- High School Diploma Or equivalent required
- Bachelors Degree or equivalent combination of training/experience required
Experience Qualifications
- 6 Years workers compensation Claims handling experience required
Skills and Abilities
- Advanced technical workers compensation Claims knowledge.
- Strong verbal and written communication skills with emphasis on telephone and in person communication required.
- Strong math and reading skills required.
- Meets all state regulatory standards regarding licensing continuing education and other requirements.
The expected salary range for this position is $68884.30 to $77494.84. 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
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:
Unclear Seniority
Employment Type
Full-Time
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
