Hybrid Workers' Comp Claims Specialist - Growth & Impact

Zenith Insurance Company; United States; Hybrid; USD 78,000 - 106,000; Full time

Benefits offered by this job

Medical/Dental/Vision

FSAs

Parental Leave

Life/AD&D/Disability Insurance

401(k) + ESPP

Education Reimbursement

Paid Vacation/Sick Leave

Holidays & Personal Days

Employee Assistance Program

Job summary

Zenith Insurance Company is seeking a Claims Examiner to evaluate workers' compensation claims, determine liability, and negotiate settlements with claimants and attorneys. You will interview claimants, medical professionals, and witnesses, and set reserves with documentation to support timely resolutions.

The role requires 3+ years WC claim experience, strong communication skills, and compliance with licensing requirements.

Qualifications

• 3+ years Workers' Comp claim or insurance experience required.
• Bilingual Spanish is a plus.
• Strong verbal and written communication with emphasis on telephone contact.
• Meets licensing and continuing education requirements as applicable.

Responsibilities

• Opens new claims, conducts investigations, and determines compensability.
• Sets reserves and monitors reserve accuracy throughout the life of the claim.
• Negotiates settlements with injured workers or attorneys within authority.
• Maintains regular contact with injured workers, employers and agents.
• Prepare detailed settlement evaluations and communicate case status.

Skills

Verbal communication

Written communication

Math skills

Regulatory compliance

Education

High School Diploma or equivalent

Bachelor’s Degree or equivalent

Self-insured designation

CA hours up to date

Job description

Zenith Insurance Company is seeking a Claims Examiner to evaluate workers' compensation claims, determine liability, and negotiate settlements with claimants and attorneys. You will interview claimants, medical professionals, and witnesses, and set reserves with documentation to support timely resolutions.

The role requires 3+ years WC claim experience, strong communication skills, and compliance with licensing requirements.