Workers' Compensation Claims Specialist - New England Region

Zenith Insurance Company (United States); Connecticut; On-site; USD 70,000 - 116,000; Full time

Job summary

An established industry player is seeking a Workers' Compensation Claims Specialist for the New England Region. This role involves investigating and managing claims, ensuring compliance with state regulations, and maintaining positive relationships with claimants and employers. You will be responsible for evaluating claims, negotiating settlements, and ensuring the integrity of data throughout the claims process. Join a dynamic team that values expertise and commitment to superior claims handling, while enjoying a comprehensive benefits package and opportunities for professional growth.

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

10 paid Company Holidays

Employee Assistance Program (EAP)

Qualifications

• 1+ years of claims or insurance experience preferred.
• Must be licensed to handle New England workers' comp claims.

Responsibilities

• Investigate and determine company's liability concerning claims.
• Manage claims and maintain relationships with injured workers and employers.

Skills

Workers’ Compensation Claims Knowledge

Verbal Communication

Written Communication

Mathematical Skills

Education

High School Diploma or equivalent

Bachelor’s Degree or equivalent experience

Job description

Workers' Compensation Claims Specialist- New England Region

Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zenith's superior Claims handling expertise.

What you will do

• Will be responsible for workers' comp claims in the New England Territory.
• Under technical direction, works within significant limits and authority on assignments of higher technical complexity and coordination.
• Responsible for Claims management of assigned cases within guidelines of published performance standards.
• Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
• Sets appropriate reserves according to Zenith’s timeframes and guidelines.
• Follows appropriate procedures for system documentation to preserve data integrity.
• Monitors and maintains accuracy of reserves over the life of the claim; when new information is received re-evaluates and recommends reserves according to Zenith’s standards.
• Creates and executes action plans needed to bring case to closure.
• Completes detailed settlement evaluations and recommends appropriate settlement value, within authority; negotiates claim settlements with injured workers and/or injured workers’ attorneys.
• Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility.
• Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
• 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 Qualifications

• High School Diploma Or equivalent required
• Bachelor’s Degree or equivalent combination of training/experience preferred

Experience Qualifications

• 1+ Years claim or insurance experience preferred.
• Must be licensed (in most states) to handle New England workers' comp claims.
• Previous workers’ compensation experience required

Skills and Abilities

• Basic technical workers’ compensation Claims knowledge.
• 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.

The expected salary range for this position is $70,856.46- $115,741.86 . 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. If you are interested in any of our open positions, we encourage you to submit your application promptly.

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.

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Equal Opportunity Employer
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