Workers' Comp Claims Specialist

Zenith Insurance Company (United States)

Workers' Compensation Specialist managing claims for businesses in the United States. Investigating claims and negotiating settlements while maintaining strong relationships with injured workers and employers.

Posted 5/15/2026full-timeCharlotte • North Carolina • 🇺🇸 United StatesJunior💰 $74,485 - $93,107 per yearWebsite

About the role

Key responsibilities & impact

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 cases 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.
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 re-evaluates and recommends reserves according to Zenith’s standards.
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.
Maintains 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.
Works productively and harmoniously with others on a consistent basis.
Respond positively to direction and criticism of performance.
Consistently maintain professional and appropriate demeanor.

Requirements

What you’ll need

High School Diploma required
Bachelor’s Degree or equivalent combination of training/experience preferred
1+ years claim or insurance experience required
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
Meets all state regulatory standards regarding licensing, continuing education, and other requirements.

Benefits

Comp & perks

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)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementsettlement evaluationnegotiationdata analysismathematical skillstechnical knowledge of workers' compensation claimssystem documentationreserve monitoringinvestigationcompensability assessment

Soft Skills

verbal communicationwritten communicationinterpersonal skillsproblem-solvingprofessional demeanoradaptability to feedbackrelationship buildingteam collaborationcredibility establishmentlogical thinking

Certifications

High School DiplomaBachelor’s Degreestate regulatory licensing