Workers' Compensation Claims Specialist - New England Region

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

Job summary

An established industry player is seeking a Workers' Compensation Claims Specialist to join their team in the New England region. This role involves investigating and managing claims, ensuring compliance with state regulations, and maintaining relationships with claimants and medical specialists. The ideal candidate will have a strong foundation in claims knowledge and excellent communication skills. This position offers a competitive salary and a comprehensive benefits package, including medical, dental, and vision insurance. Join a dynamic team where your expertise will make a significant impact in the field of workers' compensation.

Benefits

Medical, Dental and Vision Insurance

Flexible Spending Accounts

Life, AD&D and Disability Insurance

401(k)

Employee Share Purchase Plan (ESPP)

Education and Training Reimbursement

Paid Company Holidays

Employee Assistance Program (EAP)

Qualifications

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

Responsibilities

• Investigate and analyze claims to determine liability.
• Manage workers' comp claims in the New England Territory.
• Negotiate claim settlements with injured workers.

Skills

Workers' Compensation Claims Knowledge

Verbal Communication Skills

Written Communication Skills

Mathematical Skills

Education

High School Diploma or equivalent

Bachelor’s Degree or equivalent experience

Job description

Workers' Compensation Claims Specialist - New England Region

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Workers' Compensation Claims Specialist - New England Region

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Zenith Insurance Company (United States) provided pay range

This range is provided by Zenith Insurance Company (United States). Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$70,856.46/yr - $115,741.86/yr

A Brief Overview

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.

• Medical, Dental and Vision Insurance
• Flexible Spending Accounts
• Life, AD&D and Disability Insurance
• 401(k), Employee Share Purchase Plan (ESPP)
• Education and Training Reimbursement
• 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.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  General Business

• Industries

  Insurance

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid paternity leave

Paid maternity leave

Disability insurance

Tuition assistance

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