Regional Claims Analyst
Zenith Insurance Company (United States)
full-time
Posted on:
Location Type: Hybrid
Location: Fresno • California • United States
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Salary
💰 $125,526 - $142,644 per year
About the role
- Responsible for assisting in the development and monitoring of claim policy, standards, procedures and strategy in their assigned branch offices.
- Responsible for building a team relationship between assigned offices and corporate claims.
- Assists the branch offices with technical guidance on losses.
- Acts as liaison between the branch offices and Corporate Claims by monitoring and supporting claim policies and procedures.
- Provides input/recommendations when corporate claim policies or procedures are formulated or changed.
- Analyzes the exposure of cases, commits the case with senior management and makes recommendations for future handling action plans.
- Participates in claim reviews of branch offices by the Corporate Claims Department.
- Ensures that detailed action plans are formulated by branch offices that address any opportunities for improvements outlined in the claim reviews.
- Coordinates and represents the Company at policyholder claim reviews at major insureds according to senior management direction.
- Prepares case updates analyzing exposures and providing recommendations.
Requirements
- 6+ years of Workers' Compensation technical experience required.
- High School Diploma Or equivalent Bachelor’s Degree or equivalent combination of training/experience, professional insurance designation and/or insurance related education
- 6+ years of Workers' Compensation technical experience handling highly complex claims in a regional/corporate claims environment with preferred experience in catastrophic claims management.
- Demonstrated skill in coaching individuals through detailed instruction, frequent interaction, and repeated practice.
- Demonstrated oral and written communication skills, negotiation skills, and influence management skills.
- Advanced understanding of the tenants of insurance and legal principles: knowledge of W/C coverage’s and services.
- Experience in handling catastrophic cases (spinal cord injuries, brain damage, severe burns, etc.) preferred.
- Technical experience in a multi-state workers' compensation environment preferred.
- Valid Driver License in good standing.
- Occasional overnight travel 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)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Workers' Compensationcatastrophic claims managementclaims analysiscase managementinsurance policy developmenttechnical guidanceaction plan formulationclaims reviewnegotiationinsurance legal principles
Soft Skills
coachingoral communicationwritten communicationinfluence managementteam relationship buildinganalytical skillsrecommendation formulationinterpersonal skillsproblem-solvingpresentation skills
Certifications
professional insurance designationBachelor’s DegreeHigh School Diplomainsurance related education