Senior Workers' Comp Claims Specialist
Zenith Insurance Company (United States)
full-time
Posted on:
Location Type: Remote
Location: Hawaii • United States
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Salary
💰 $103,204 - $114,671 per year
Job Level
About the role
- Investigate, analyze, and determine the extent of company's 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.
- 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.
- 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.
Requirements
- 5+ years Workers’ Compensation Claims handling experience required
- 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.
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)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims managementSettlement evaluationBenefit payment calculationNegotiationInvestigationSubrogationApportionmentThree-point contactPerformance standardsWorkers’ Compensation claims handling
Soft Skills
Verbal communicationWritten communicationMathematical skillsReading skills