Claims Assistant job – Zenith Insurance Company – Roseville, CA

Claims Assistant

Zenith Insurance Company


42 reviews


Roseville, CA

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.

The essential functions of this position include, but are not limited to, the following:

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.

Education, Skills and Experience Requirements

Bachelor’s degree or equivalent combination of training/experience preferred.

Prior Workers’ Compensation claims assistant experience preferred.

Basic technical workers’ compensation claims knowledge preferred.

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.

Bilingual skills preferred.

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

Education

Required

High School or better.


42 reviews

Zenith Insurance Company (“Zenith”) is a national workers’ compensation carrier with more than 60 years of experience helping a broad…

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secureteam
A Computer Programmer whose articles got mentions from the likes of The New York Times, Kissmetrics and AllTopStories. He writes articles, novels and poems; spends most of his time reading everything he could get his hands on. He is currently pursuing his Masters from The University of Illinois and holds a Bachelors in Electronics Engineering from the University of California. He is a programmer, a motivational writer and speaker.

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