Claims Assistant
Claims Assistant
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$ 44996 - 49995
1 Vacancy
Job Description
This role is eligible to participate in Zeniths hybrid work schedule which provides the flexibility to work from home on select days of the week according to the inoffice schedule established by regional executive leadership. Selected candidate must be able to report into the local branch office on a weekly basis. This role may report into either the Orlando or Sarasota branch offices.
- Responsible for assisting examiners and management of assigned caseload by performing clerical functions according to the Zenith timeframes and guidelines.
- Performs detailed telephone investigations and maintains disability status checks with physicians and policyholders as directed by examiner.
- Arranges medical examinations; may send physician cover letter with assistance or approval of examiner and compose routine narrative memorandums and letters as directed by examiner.
- Prepares and types legal documents; Answers Declaration of Readiness to Proceed Compromise and Release and other related forms and memorandums.
- Makes disability and medical payments within given authority.
- Inputs and monitors automatic disability schedule payments and cancellations.
- Timely management of assigned tasks by systems diary.
- Proficient use of computer to include Claims information coverage DWC notices and payment verification.
- Word Outlook Calendar EMail Performa and Zeus knowledge required.
- Calculate wage statements and make appropriate adjustments in the system.
- Understands and complies with medical management protocols and standards.
- May assume backup in absence of examiner.
- Assists in training of Claims assistants and other clerical personnel.
- 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
- Prior Workers Compensation Claims assistant experience preferred. Basic technical workers compensation Claims knowledge preferred. preferred
- 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.
- Bilingual skills preferred.
- Strong skills in time management organization and problem solving required.
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.
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#LIHybrid
Employment Type
Full-Time
