Claims Assistant

Zenith-Insurance-Company; Penn Square (PA); On-site; USD 44,086 - 49,597; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Flexible Spending Accounts

Paid Parental Leave

401(k) and ESPP

Job summary

Zenith Insurance Company is seeking a detail‑oriented Clerical/Claims Assistant to support examiners with caseloads, conduct telephone investigations, and arrange medical examinations. You will prepare legal documents, process wage statements, and ensure timely task management using Zenith systems.

The role requires a High School Diploma or equivalent, strong communication and math skills, and the ability to work with minimal supervision.

Qualifications

• 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.
• Bilingual skills preferred.
• Strong skills in time management, organization, and problem solving required.

Responsibilities

• Assist examiners and management of assigned caseload by performing clerical functions according to Zenith timeframes and guidelines.
• Perform detailed telephone investigations and maintain disability status checks with physicians and policyholders as directed by examiner.
• Arrange medical examinations; may send physician cover letter with assistance or approval of examiner, and compose routine narrative memorandums and letters as directed by examiner.
• Prepare and type legal documents; Answers, Declaration of Readiness to Proceed, Compromise and Release, and other related forms and memorandums.
• Make disability and medical payments within given authority.
• Inputs and monitors automatic disability schedule payments and cancellations.
• Timely management of assigned tasks by systems diary.
• Proficient use of computer to include Claims information, coverage, DWC notices and payment verification.
• Word, Outlook Calendar, E‑Mail, Performa, and Zeus knowledge required.
• Calculate wage statements and make appropriate adjustments in the system.
• Understands and complies with medical management protocols and standards.
• May assume back-up in absence of examiner.
• Assists in training of Claims assistants and other clerical personnel.
• 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

Verbal communication

Written communication

Math skills

Reading skills

Time management

Organizational skills

Problem solving

Bilingual preferred

Education

High School Diploma or equivalent

Tools

Word

Outlook Calendar

E‑mail

Performa

Zeus

Job description

Introduction

Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional.

Overview

Under general supervision, performs diverse and complex clerical duties requiring thorough knowledge and understanding of all applicable procedures and policies. Tasks require judgment and initiative.

Responsibilities

• Responsible for assisting examiners and management of assigned caseload by performing clerical functions according to the Zenith timeframes and guidelines.
• Performs detailed telephone investigations and maintains disability status checks with physicians and policyholders as directed by examiner.
• Arranges medical examinations; may send physician cover letter with assistance or approval of examiner, and compose routine narrative memorandums and letters as directed by examiner.
• Prepares and types legal documents; Answers, Declaration of Readiness to Proceed, Compromise and Release, and other related forms and memorandums.
• Makes disability and medical payments within given authority.
• Inputs and monitors automatic disability schedule payments and cancellations.
• Timely management of assigned tasks by systems diary.
• Proficient use of computer to include Claims information, coverage, DWC notices and payment verification.
• Word, Outlook Calendar, E-Mail, Performa, and Zeus knowledge required.
• Calculate wage statements and make appropriate adjustments in the system.
• Understands and complies with medical management protocols and standards.
• May assume back-up in absence of examiner.
• Assists in training of Claims assistants and other clerical personnel.
• 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.

Education

• High School Diploma or equivalent required

Work Experience

• Prior Workers’ Compensation Claims assistant experience preferred.
• Basic technical workers’ compensation Claims knowledge preferred.
• Spanish is a plus

Knowledge, Skills, and Abilities

• 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.
• Bilingual skills preferred.
• Strong skills in time management, organization, and problem solving required.

Pay, Benefits, and Other Information

The expected salary range for this position is $44,086.20 - $49,596.97 Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.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)
• For more information, review details on the Benefits page of our Career Site: https://www.thezenith.com/careers/benefits/

Zenith typically posts jobs for a minimum of 8 to 14 calendar days.

Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic.

In compliance with California law, we are committed to fair hiring practices.

Pursuant to the California Fair Chance Act (AB 1008), we will consider qualified applicants with criminal histories in a manner consistent with the law.

Additionally, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance, we will not inquire about an applicant’s criminal history until after a conditional offer of employment has been made.

If you are a qualified individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability, you are entitled to request an accommodation.

To make a request, please contact a Human resources representative at Zenith Insurance Company.