Workers' Comp Claims Analyst & Settlements

Zenith Insurance Company (United States); Alabama; On-site; USD 74,000 - 93,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Education Reimbursement

Holidays & Personal Days

Employee Assistance Program (EAP)

Job summary

Zenith Insurance Company seeks a claims professional to investigate and determine liability in workers’ compensation cases. You will communicate with medical experts, witnesses, and claimants to gather facts and negotiate settlements within authority.

Responsibilities include opening and evaluating claims, setting reserves, and maintaining data integrity while building positive relationships with injured workers and employers.

Qualifications

• Basic technical workers’ compensation claims knowledge.
• Strong verbal and written communication skills with emphasis on telephone communication.
• Strong math and reading skills.
• Meets state regulatory standards regarding licensing and CE.

Responsibilities

• Investigate, analyze, and determine extent of liability and settlement with claimants.
• Correspond with medical specialists, agents, witnesses, or claimants to gather information.
• Calculate benefit payments and approve payments within monetary limits.
• Open new claims, conduct investigations to determine compensability, and consider subrogation or apportionment.
• Set reserves and maintain data integrity in the system documentation.
• Develop action plans to bring cases to closure and negotiate settlements.
• Maintain regular contact with injured workers, employers, and agents to build credibility.
• Operate professionally and respond positively to direction and feedback.

Skills

Strong communication

Attention to detail

Claims knowledge

Education

High School Diploma or equivalent

Bachelor’s Degree equivalent

Job description

Zenith Insurance Company seeks a claims professional to investigate and determine liability in workers’ compensation cases. You will communicate with medical experts, witnesses, and claimants to gather facts and negotiate settlements within authority.

Responsibilities include opening and evaluating claims, setting reserves, and maintaining data integrity while building positive relationships with injured workers and employers.