Senior Nevada WC Claims Specialist

Zenith Insurance Company; Time; On-site; NOK 822,000 - 1,027,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Flexible Spending Accounts

Paid Parental Leave

Life, AD&D and Disability Insurance

401(k), ESPP

Job summary

Zenith Insurance Company in Nevada is seeking a skilled Workers' Compensation Claims Specialist to investigate, analyze, and determine liability, and to pursue settlements with claimants while complying with Nevada regulations.

The role requires opening new claims, setting reserves, coordinating with medical professionals and witnesses, and negotiating settlements within authority. A high standard of data accuracy, communication, and professionalism is essential for success.

Qualifications

• 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.

Responsibilities

• Under limited direction, works within broad limits and authority on highly complex assignments.
• 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.
• 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 consistence basis.
• Respond positively to direction and criticism of performance.
• Consistently maintain professional and appropriate demeanor.
• Perform other duties as assigned.

Skills

WC claims knowledge

Verbal communication

Written communication

Math skills

Regulatory licensing & CE

Education

High school diploma

Bachelor’s degree or equivalent

Job description

Zenith Insurance Company in Nevada is seeking a skilled Workers' Compensation Claims Specialist to investigate, analyze, and determine liability, and to pursue settlements with claimants while complying with Nevada regulations.

The role requires opening new claims, setting reserves, coordinating with medical professionals and witnesses, and negotiating settlements within authority. A high standard of data accuracy, communication, and professionalism is essential for success.