Hybrid Claims Admin Specialist I

Zenith-Insurance-Company; Los Angeles (CA); Hybrid; USD 40,000 - 50,000; 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) and ESPP

Education and Training Reimbursement

Paid Leave: 3 weeks vacation, 2 weeks?

2 Personal Days, 2 Floating Holidays

Employee Assistance Program (EAP)

Job summary

Zenith Insurance Company seeks a Claims Admin Specialist I to perform moderate-technical administrative duties in support of the Claims function. You will ensure timely payments, coordinate medical appointments, and prepare documentation for legal and medical teams.

The role requires 2+ years of relevant experience, solid Excel and Word skills, and meticulous attention to detail. This is a hybrid Los Angeles-area position with competitive benefits and growth opportunities.

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree or equivalent preferred.
• 2+ years of work-related experience; prior claims administrative support in Workers' Compensation preferred.

Responsibilities

• Issue timely and accurate allocated payments with attention to due dates.
• Calculate and issue temporary disability, wage loss, and permanent disability payments within timeframes.
• Send correct DWC notices within expected timeframes.
• Review and label Documentum.
• Process medical treatment requests via Zencare and complete follow up.
• Compile peer review packets by uploading medical records for timely treatment decisions.
• Schedule medical appointments, transportation and interpreters for injured workers and send paperwork in advance.
• Review examiner, nurse or attorney assignments before completion.
• File legal documents for attorneys through EAMS and ensure QA of documents.
• Assist nurses during the weaning process by sending notices and completing paperwork.
• Set up meetings for Examiners, Attorneys and nurses as needed.
• Maintain Claims, Medical Legal weekly staffing agenda.
• Answer calls from Examiners and respond to injured workers, Employers and brokers promptly.

Skills

Microsoft Office

Excel

Word

Grammar

Document drafting

Task management

Attention to detail

Organization

Time management

Communication

Education

High School Diploma or equivalent

Bachelor's degree or equivalent preferred

Job description

Zenith Insurance Company seeks a Claims Admin Specialist I to perform moderate-technical administrative duties in support of the Claims function. You will ensure timely payments, coordinate medical appointments, and prepare documentation for legal and medical teams.

The role requires 2+ years of relevant experience, solid Excel and Word skills, and meticulous attention to detail. This is a hybrid Los Angeles-area position with competitive benefits and growth opportunities.