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Zenith Insurance Company (United States) · 14 hours ago

Claims Assistant

US-IL-Springfield

Full-time

Hybrid

New Grad, Entry Level

$43K/yr - $53K/yr

Zenith Insurance Company is a team of Workers' Compensation Specialists committed to helping businesses succeed. The Claims Assistant role involves performing diverse clerical duties, assisting examiners with caseload management, and ensuring compliance with medical management protocols.

Financial ServicesInsurance

Responsibilities

Responsible for assisting examiners and management of assigned caseload by performing clerical functions according to the Zenith timeframes and guidelines

Performs detailed telephone investigations and maintains disability status checks with physicians and policyholders as directed by examiner

Arranges medical examinations; may send physician cover letter with assistance or approval of examiner, and compose routine narrative memorandums and letters as directed by examiner

Prepares and types legal documents; Answers, Declaration of Readiness to Proceed, Compromise and Release, and other related forms and memorandums

Makes disability and medical payments within given authority

Inputs and monitors automatic disability schedule payments and cancellations

Timely management of assigned tasks by systems diary

Proficient use of computer to include Claims information, coverage, DWC notices and payment verification

Word, Outlook Calendar, E-Mail, Performa, and Zeus knowledge required

Calculate wage statements and make appropriate adjustments in the system

Understands and complies with medical management protocols and standards

May assume back-up in absence of examiner

Assists in training of Claims assistants and other clerical personnel

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

Qualification

Workers' Compensation knowledgeClaims processingBilingual skillsCommunication skillsTime managementOrganizationMathematical skillsReading skillsClerical skillsProblem solving

Required

High School Diploma or equivalent required

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

Strong skills in time management, organization, and problem solving required

Preferred

Prior Workers' Compensation Claims assistant experience preferred

Basic technical workers' compensation Claims knowledge preferred

Bilingual skills preferred

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)

Company

Zenith Insurance Company (United States)

Zenith is the premier specialist in workers’ compensation nationally, and a leader in property and casualty insurance for the California agriculture industry.

Founded in 1949