Workers' Comp Claims Specialist

Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees, and making the workplace safer. We prioritize collaboration, work-life balance, and integrity, and support career advancement through ongoing learning and development. This role offers competitive compensation, a comprehensive benefits package, and continuous professional growth opportunities.

About the role

Investigate, analyze, and determine the extent of the 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. Must have experience with one or more of the following jurisdictions: AL, GA, NC, MS, SC, TN, VA, or KY.

Responsibilities

• Work within significant limits and authority on assignments of higher technical complexity and coordination.
• Manage claims of assigned cases within guidelines of published performance standards.
• Open new claims, complete three-point contact, and perform needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
• Set appropriate reserves according to Zenith’s timeframes and guidelines.
• Follow appropriate procedures for system documentation to preserve data integrity.
• Monitor and maintain accuracy of reserves over the life of the claim; re-evaluate and recommend reserves when new information is received.
• Create and execute action plans needed to bring cases to closure.
• Complete detailed settlement evaluations and recommend appropriate settlement value within authority; negotiate claim settlements with injured workers and/or their attorneys.
• Maintain 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.
• Work productively and harmoniously with others on a consistent basis.
• Respond positively to direction and criticism of performance.
• Consistently maintain professional and appropriate demeanor.

Requirements

• High School Diploma or equivalent required.
• Bachelor’s Degree or equivalent combination of training/experience required.
• 1+ years of claim or insurance experience preferred.
• Previous workers’ compensation experience helpful.
• Basic technical workers’ compensation claims knowledge.
• Strong verbal and written communication skills, with emphasis on telephone communication.
• Strong math and reading skills.
• Meets all state regulatory standards regarding licensing, continuing education, and other requirements.

Pay

The expected salary range for this position is $74,485.58 to $93,106.98. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law.

Benefits

• Medical, Dental, and Vision Insurance
• Flexible Spending Accounts
• Paid Parental Leave
• Life, AD&D, and Disability Insurance
• 401(k) and 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)