Regional Claims Analyst at Zenith Insurance Company

Fresno, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

142644.0

Posted On

29 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Workers' Compensation, Claims Policy Development, Technical Guidance, Claim Reviews, Case Analysis, Subrogation, Action Plan Formulation, Coordination, Reinsurance Liaison, MSA Procedures, Logical Thinking, Coaching, Communication, Negotiation, Influence Management, Catastrophic Claims Management

Industry

Insurance

Description

Introduction 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. Overview Responsible for assisting in the development and monitoring of claim policy, standards, procedures and strategy in their assigned branch offices. Responsible for building a team relationship between assigned offices and corporate claims. Responsible for assisting the branch offices with technical guidance on losses. Participates in corporate claim reviews Responsibilities Acts as liaison between the branch offices and Corporate Claims by monitoring and supporting claim policies and procedures. Assists in providing input/recommendations when corporate claim policies or procedures are formulated or changed. Assists in analyzing the exposure of cases, including consideration of all pertinent information (e.g., coverage, compensability, investigation, injuries sustained, prognosis for recovery, subrogation, etc.), committees the case with senior management and makes recommendations for future handling action plans, and assists the branch offices in claim handling. Participates in claim reviews of branch offices by the Corporate Claims Department. Assists in ensuring that detailed action plans are formulated by branch offices that address any opportunities for improvements outlined in the claim reviews, confirms that these plans are completed and in place in a timely manner, and partners in the execution of the plan. Coordinates and represents the Company at policyholder claim reviews at major insureds according to senior management direction. Provides input to underwriting and safety and health on changes in guidelines, standards, measurements and workflows. Liaison with reinsurance carriers and assigned office(s) on cases that require reporting, or, require authority to settle. Prepares case updates analyzing exposures and providing recommendations. Provides guidance to assigned field office(s) on MSA/CMS procedures and questions. Responsible for reviewing and approving all requests for MSA’s, and all MSA type settlements. Applies 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 feedback on performance. Consistently maintain professional and appropriate demeanor. Perform other duties/projects as assigned. Qualifications 6+ years of Workers' Compensation technical experience required. Education High School Diploma Or equivalent Bachelor’s Degree or equivalent combination of training/experience, professional insurance designation and/or insurance related education Work Experience 6+ years of Workers' Compensation technical experience handling highly complex claims in a regional/corporate claims environment with preferred experience in catastrophic claims management. Knowledge, Skills, and Abilities Demonstrated skill in coaching individuals through detailed instruction, frequent interaction, and repeated practice. Demonstrated oral and written communication skills, negotiation skills, and influence management skills. Advanced understanding of the tenants of insurance and legal principles: knowledge of W/C coverage’s and services. Experience in handling catastrophic cases (spinal cord injuries, brain damage, severe burns, etc.) preferred. Technical experience in a multi-state workers' compensation environment preferred. Excellent oral and written communication skills. Valid Driver License in good standing. Occasional overnight travel required. Pay, Benefits, and Other Information The expected salary range for this position is $125,526.54 - $142,644. 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.#LI-EF1#LI-hybrid'

Responsibilities

This role is responsible for assisting in the development and monitoring of claim policy, standards, procedures, and strategy across assigned branch offices while acting as a liaison between branch offices and corporate claims. Key duties involve analyzing case exposures, making handling recommendations, participating in claim reviews, and ensuring timely execution of improvement plans.