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Zenith Insurance Company (United States) logo
Zenith Insurance Company (United States)

Zenith is the premier specialist in workers’ compensation nationally, and a leader in property and casualty insurance

Senior Workers' Comp Claims Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 1,001-5,000Since 1951H1B No SponsorCompany SiteLinkedIn

Location

Hawaii

Posted

85 days ago

Salary

$103.2K - $114.7K / year

Seniority

Senior

High School5 yrs expEnglish

Job Description

Senior Workers' Comp Claims Specialist

Zenith Insurance Company (United States)

• 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.

Job 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)

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