Claims Support Specialist

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

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.