Claims Specialist
2 months ago
This role is eligible to participate in Zenith's hybrid work schedule, providing the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership. Selected candidates must be able to report into the regional branch office on a weekly basis.
Key Responsibilities- Investigate, analyze, and determine the extent of company 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.
- Perform tasks with the goal of demonstrating Zenith's superior claims handling expertise.
- Work under technical direction on assignments of higher technical complexity and coordination.
- Manage assigned cases within guidelines of published performance standards.
- Open new claims, complete three-point contact, and perform needed investigations to determine compensability and possible subrogation or apportionment.
- Set appropriate reserves according to Zenith's timeframes and guidelines.
- Follow procedures for system documentation to preserve data integrity.
- Monitor and maintain accuracy of reserves over the life of the claim.
- Create and execute action plans to bring cases to closure.
- Complete detailed settlement evaluations and recommend appropriate settlement value.
- Maintain 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.
- Work productively and harmoniously with others on a consistent basis.
- Respond positively to direction and criticism of performance.
- Maintain a professional and appropriate demeanor.
- High School Diploma or equivalent required.
- Bachelor's Degree or equivalent combination of training/experience preferred.
- 1+ Years claims or insurance experience preferred.
- Previous workers' compensation experience required.
- Basic technical workers' compensation claims knowledge.
- Strong verbal and written communication skills with emphasis on telephone communication required.
- Strong math and reading skills required.
- Meet all state regulatory standards regarding licensing, continuing education, and other requirements.
The expected salary range for this position is $72,967.82-$91, with actual pay adjusted based on experience, geographic location, and other job-related factors as permitted by law.
Equal Opportunity EmployerZenith 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.
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