Claims Assistant

Claims Assistant

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. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional.

A Brief Overview

Under general supervision, performs diverse and complex clerical duties requiring thorough knowledge and understanding of all applicable procedures and policies. Tasks require judgment and initiative.

What You Will Do

• 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 consistent basis.
• Respond positively to direction and criticism of performance.
• Consistently maintain professional and appropriate demeanor.
• Perform other duties as assigned.

Education Qualifications

Experience Qualifications

Skills and Abilities

The expected salary range for this position is $42,796.39 - $53,495.48. 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)